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DR. MICAHEL JASON GAMBILL D.D.S.
NPI 1023454071
Dentist - Pediatric Dentistry in Bossier City, LA

Active since May 17, 2013
2285 BENTON RD STE C100, BOSSIER CITY, LA 71111(318) 742-9333(318) 747-9089 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Micahel Jason Gambill D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICAHEL JASON GAMBILL D.D.S. (NPI 1023454071) is an individual pediatric dentistry provider in Bossier City, Louisiana, licensed in Louisiana (6422) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1023454071
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MICAHEL JASON GAMBILLCredential: D.D.S.
Location Address2285 BENTON RD STE C100Bossier City, LA 71111-3465
Mailing Address2285 Benton Rd Ste C100Bossier City, LA 71111-3465 · (318) 742-9333 · Fax (318) 747-9089
Phone(318) 742-9333
Fax(318) 747-9089
Sole ProprietorYes
Enumeration DateMay 17, 2013
Last NPPES UpdateNovember 16, 2018
✔ NPI 1023454071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in LA · 6422✔ Licensed in CO · 00201959
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2285 BENTON RD STE C100, Bossier City, LA 71111
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Other Identifiers 1

Medicaid30872LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micahel Gambill's NPI number?

The NPI number for Micahel Gambill is 1023454071. It was assigned to this individual provider in the NPPES registry on May 17, 2013.

Where is Micahel Gambill located?

Micahel Gambill practices at 2285 Benton Rd Ste C100, Bossier City, LA 71111. The listed phone number is (318) 742-9333.

What is Micahel Gambill's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Micahel Gambill accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 5 other insurers list Micahel Gambill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Micahel Gambill was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.