Provider Demographics
NPI:1699919233
Name:GAMBLE, CYNTHIA J (DDS)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:J
Last Name:GAMBLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 OAKMIST DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2854
Mailing Address - Country:US
Mailing Address - Phone:919-380-1042
Mailing Address - Fax:919-380-1042
Practice Address - Street 1:114 OAKMIST DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2854
Practice Address - Country:US
Practice Address - Phone:919-380-1042
Practice Address - Fax:919-380-1042
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC74311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice