Provider Demographics
NPI:1306975222
Name:GERBING, GEORGE RONALD (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:RONALD
Last Name:GERBING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16021 N HEATHERGLEN CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-7524
Mailing Address - Country:US
Mailing Address - Phone:509-468-8400
Mailing Address - Fax:
Practice Address - Street 1:501 S BERNARD ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2508
Practice Address - Country:US
Practice Address - Phone:800-359-6019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000106251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice