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: July 19, 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 (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 (Oral and Maxillofacial Surgery)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (Orthodontics and Dentofacial Orthopedics)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205094117, enumerated as an "individual" on May 28, 2008.

The provider is located at 4744 S FLORIDA AVE LAKELAND, FL 33813 and the phone number is (863) 644-1226.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, BEST Life,. Please consult your insurance carrier or call the provider to verify.