DR. PHATTARA GIBBS DMD
NPI 1205094117
Dentist in Lakeland, FL

Active since May 28, 2008
4744 S FLORIDA AVE, LAKELAND, FL 33813(863) 644-1226(863) 644-3756 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Phattara Gibbs Dmd NPPES

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

DR. PHATTARA GIBBS DMD (NPI 1205094117) is an individual dentist in Lakeland, Florida, licensed in Florida (DN18269) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1205094117
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PHATTARA GIBBSCredential: DMD
Location Address4744 S FLORIDA AVELakeland, FL 33813-2181
Mailing Address5801 S Macdill Ave Unit 14Tampa, FL 33611-4482 · (813) 368-3984 · Fax (863) 644-3756
Fax(863) 644-3756
Sole ProprietorYes
Enumeration DateMay 28, 2008
Last NPPES UpdateNovember 3, 2009
NPI 1205094117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · DN18269
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4744 S FLORIDA AVE, Lakeland, FL 33813

Accepted Insurance

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813

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 Phattara Gibbs's NPI number?

The NPI number for Phattara Gibbs is 1205094117. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Phattara Gibbs located?

Phattara Gibbs practices at 4744 S Florida Ave, Lakeland, FL 33813. The listed phone number is (863) 644-1226.

What is Phattara Gibbs's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Phattara Gibbs accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Phattara Gibbs 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 Phattara Gibbs was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.