Organization
LESLEY K. GILBERT DDS, LLC
Active
Parent organization
LESLEY K GILBERT DDS, LLC
Other names
Lesley K. Gilbert, DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LESLEY K GILBERT DDS, LLC
Authorized official
LESLEY K GILBERT DDS (MEMBER/DENTIST)
(317) 462-7223
Entity
Organization
Contact information
Practice address
1852 FIELDS BLVD STE A, GREENFIELD, IN 46140-4006
(317) 462-7223
(317) 467-8744
Mailing address
1852 FIELDS BLVD STE A, GREENFIELD, IN 46140-4006
(317) 462-7223
(317) 467-8744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
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
Enumeration date
04/04/2019
Last updated
06/11/2019
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