Provider Demographics
NPI:1528187226
Name:GILBERT, JOHN F JR (DDS)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:GILBERT
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 INDUSTRIAL MILE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-2482
Mailing Address - Country:US
Mailing Address - Phone:614-274-1212
Mailing Address - Fax:614-274-1215
Practice Address - Street 1:455 INDUSTRIAL MILE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-2482
Practice Address - Country:US
Practice Address - Phone:614-274-1212
Practice Address - Fax:614-274-1215
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH202841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0184474Medicaid