Individual
DR. MARTY E GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
136 EAST PRINCETON ST, CROFTON, KY 42217
(270) 424-5999
(270) 424-5522
Mailing address
136 EAST PRINCETON ST, CROFTON, KY 42217
(270) 424-5999
(270) 424-5522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7523
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000304
—
KY
Enumeration date
01/22/2007
Last updated
07/08/2007
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