Provider Demographics
NPI:1992812804
Name:GILBERT, DANIEL H (DDS)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:H
Last Name:GILBERT
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 1:16425 E PALISADES BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-3754
Mailing Address - Country:US
Mailing Address - Phone:480-837-5227
Mailing Address - Fax:480-837-5308
Practice Address - Street 1:16425 E PALISADES BLVD STE 106
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-3754
Practice Address - Country:US
Practice Address - Phone:480-837-5227
Practice Address - Fax:480-837-5308
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA71431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7143OtherLICENSE
WA911630887OtherTAX ID
WA911630887OtherTAX ID