| Dr Micahel Jason Gambill, DDS | |
|
2285 Benton Rd Ste C100, Bossier City, LA 71111-3465 | |
| (318) 742-9333 | |
| (318) 747-9089 |
| Full Name | Dr Micahel Jason Gambill |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2285 Benton Rd Ste C100, Bossier City, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023454071 | NPI | - | NPPES |
| 30872 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 00201959 (Colorado) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 6422 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Micahel Jason Gambill, DDS 2285 Benton Rd Ste C100, Bossier City, LA 71111-3465 Ph: (318) 742-9333 | Dr Micahel Jason Gambill, DDS 2285 Benton Rd Ste C100, Bossier City, LA 71111-3465 Ph: (318) 742-9333 |
Srivarsha Ponna, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2285 Benton Rd Ste C100, Bossier City, LA 71111 Phone: 318-742-9333 | |
Yordanska Fernandez Cabada, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2494 Airline Dr Ste 100, Bossier City, LA 71111 Phone: 318-317-7808 | |
Eric J Leblanc, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2285 Benton Rd, Ste C100, Bossier City, LA 71111 Phone: 318-742-9333 Fax: 318-742-9394 | |
Emily Anne Hebert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1775 Jimmie Davis Hwy, Bossier City, LA 71112 Phone: 318-524-7736 | |
Dr. Chris Buchanan Gardner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1608 Jimmie Davis Hwy, Suite C, Bossier City, LA 71112 Phone: 318-747-6440 Fax: 318-747-1524 | |
Dr. Cayce Connolly Cloud, DDS, MDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2160 Airline Dr, Bossier City, LA 71111 Phone: 318-742-9274 |