# AMPT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gilberto and Hillis Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780426445
- **Authorized official:** DR. ANDERSON MARK GILBERTO DDS (OWNER)
- **Authorized official phone:** (573) 785-6699

## Contact information

- **Practice address:** 2990 RAIDER WAY, POPLAR BLUFF, MO 63901-5372
- **Practice address phone:** (573) 785-6699
- **Practice address fax:** (573) 785-3424
- **Mailing address:** 2990 RAIDER WAY, POPLAR BLUFF, MO 63901-5372
- **Mailing address phone:** (573) 785-6699
- **Mailing address fax:** (573) 785-3424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 06/12/2024