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LUIS GAMBOA DMD PC
NPI 1366268542
Dentist - General Practice in Raleigh, NC

Active since December 03, 2024
3110 NEW BERN AVE STE 102, RALEIGH, NC 27610(984) 242-0568 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Luis Gamboa Dmd Pc NPPES

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

LUIS GAMBOA DMD PC (NPI 1366268542) is a healthcare organization registered as a general practice in Raleigh, North Carolina and active in the NPI registry since December 2024. The organization lists Luis Gamboa, Owner, as its authorized official.

NPPES Registry Identity

NPI1366268542
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLUIS GAMBOA DMD PC
Location Address3110 NEW BERN AVE STE 102Raleigh, NC 27610-1200
Mailing Address3110 New Bern Ave Ste 102Raleigh, NC 27610-1200 · (984) 242-0568
Phone(984) 242-0568
Organization SubpartNo
Authorized OfficialLuis GamboaOwner · (954) 684-6463
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1366268542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3110 NEW BERN AVE STE 102, Raleigh, NC 27610
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LUIS FERNANDO GAMBOA DMD
Dentist (General Practice)
3110 NEW BERN AVE STE 102
RALEIGH, NC 27610
Wake County (984) 242-0568

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 Luis Gamboa Dmd PC's NPI number?

The NPI number for Luis Gamboa Dmd PC is 1366268542. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Luis Gamboa Dmd PC located?

Luis Gamboa Dmd PC is located at 3110 New Bern Ave Ste 102, Raleigh, NC 27610. The listed phone number is (984) 242-0568.

What is Luis Gamboa Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Luis Gamboa Dmd PC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.