# LESLEY K. GILBERT DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LESLEY K GILBERT DDS, LLC
- **Other names:** Lesley K. Gilbert, DDS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598227811
- **Legal business name:** LESLEY K GILBERT DDS, LLC
- **Authorized official:** LESLEY K GILBERT DDS (MEMBER/DENTIST)
- **Authorized official phone:** (317) 462-7223

## Contact information

- **Practice address:** 1852 FIELDS BLVD STE A, GREENFIELD, IN 46140-4006
- **Practice address phone:** (317) 462-7223
- **Practice address fax:** (317) 467-8744
- **Mailing address:** 1852 FIELDS BLVD STE A, GREENFIELD, IN 46140-4006
- **Mailing address phone:** (317) 462-7223
- **Mailing address fax:** (317) 467-8744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2019
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100127800A | — | IN |
| 01 | — | 1366494726 | NPI TYPE 1 | IN |
| 01 | — | 1760977896 | NPI TYPE 1 | — |
| 05 | — | 300015694 | — | IN |
| 05 | — | 300025112 | — | IN |
| 05 | — | 300025678 | — | IN |