DR. RAFAEL GAMBOA
NPI 1649378324
Dentist - Periodontics in Reno, NV

Active since September 20, 2006
1601 LAKESIDE DR, RENO, NV 89509(775) 322-8610(775) 322-7698 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rafael Gamboa NPPES

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

DR. RAFAEL GAMBOA (NPI 1649378324) is a healthcare organization registered as a periodontics in Reno, Nevada and active in the NPI registry since September 2006. The organization lists Rafael M Gamboa, President, as its authorized official.

NPPES Registry Identity

NPI1649378324
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDR. RAFAEL GAMBOA
Location Address1601 LAKESIDE DRReno, NV 89509-3408
Mailing Address1601 Lakeside DrReno, NV 89509-3408 · (775) 322-8610 · Fax (775) 322-7698
Fax(775) 322-7698
Organization SubpartNo
Authorized OfficialRafael M GamboaPresident · (775) 322-8610
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1649378324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NV · 913
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1601 LAKESIDE DR, Reno, NV 89509

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 9

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

Dentist
1601 LAKESIDE DR
RENO, NV 89509
Dentist (General Practice)
1601 LAKESIDE DR
RENO, NV 89509
Dentist
1601 LAKESIDE DR
RENO, NV 89509
Dentist (Prosthodontics)
1601 LAKESIDE DR
RENO, NV 89509
Dentist (Prosthodontics)
1601 LAKESIDE DR
RENO, NV 89509
Dentist (General Practice)
1601 LAKESIDE DR
RENO, NV 89509
Dentist (Prosthodontics)
1601 LAKESIDE DR
RENO, NV 89509
Dentist (Prosthodontics)
1601 LAKESIDE DR
RENO, NV 89509

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 Dr. Rafael Gamboa's NPI number?

The NPI number for Dr. Rafael Gamboa is 1649378324. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Dr. Rafael Gamboa located?

Dr. Rafael Gamboa is located at 1601 Lakeside Dr, Reno, NV 89509. The listed phone number is (775) 322-8610.

What is Dr. Rafael Gamboa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Dr. Rafael Gamboa was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.