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LUIS FERNANDO GAMBOA DMD
NPI 1992366520
Dentist - General Practice in Raleigh, NC

Active since June 25, 2019
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 09, 2026.

About Luis Fernando Gamboa Dmd NPPES

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

LUIS FERNANDO GAMBOA DMD (NPI 1992366520) is an individual general practice provider in Raleigh, North Carolina, licensed in North Carolina (11701) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1992366520
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameLUIS FERNANDO GAMBOACredential: DMD
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
Sole ProprietorYes
Enumeration DateJune 25, 2019
Last NPPES UpdateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1992366520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 11701
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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 GAMBOA DMD PC
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's NPI number?

The NPI number for Luis Gamboa is 1992366520. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Luis Gamboa located?

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

What is Luis Gamboa's specialty?

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

What insurance does Luis Gamboa accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 13 other insurers list Luis Gamboa 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 Luis Gamboa 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 20 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.