1962505370 NPI number — MR. WILLIAM DAVID GILBERT II DDS

Table of content: MR. WILLIAM DAVID GILBERT II DDS (NPI 1962505370)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962505370 NPI number — MR. WILLIAM DAVID GILBERT II DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GILBERT
Provider First Name:
WILLIAM
Provider Middle Name:
DAVID
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
II
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GILBERT
Provider Other First Name:
WILLIAM
Provider Other Middle Name:
DAVID
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
II
Provider Other Credential Text:
DDS PS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1962505370
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14655 BEL RED RD
Provider Second Line Business Mailing Address:
#102
Provider Business Mailing Address City Name:
BELLEVUE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-957-4700
Provider Business Mailing Address Fax Number:
425-957-4724

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14655 BEL RED RD
Provider Second Line Business Practice Location Address:
#102
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-957-4700
Provider Business Practice Location Address Fax Number:
425-957-4724
Provider Enumeration Date:
09/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  6362 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com