Organization
GAMBLE DENTALSMART PC
Active
Other names
DentalSMart
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B GAMBLE JR. DMD (OWNER OF PRACTICE)
(843) 614-6769
Entity
Organization
Contact information
Practice address
130 SAINT JAMES AVE, GOOSE CREEK, SC 29445-2941
(843) 614-6845
Mailing address
2020 SAVANNAH HWY, CHARLESTON, SC 29407-6286
(843) 614-6769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX1626
—
SC
Enumeration date
12/05/2014
Last updated
12/05/2014
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