Provider Demographics
NPI:1447685482
Name:GILBERT, ANDY BEN (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDY
Middle Name:BEN
Last Name:GILBERT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 TREMONT RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:UPPER ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2111
Mailing Address - Country:US
Mailing Address - Phone:614-451-1300
Mailing Address - Fax:614-586-4191
Practice Address - Street 1:3360 TREMONT RD
Practice Address - Street 2:SUITE 120
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43221-2111
Practice Address - Country:US
Practice Address - Phone:614-451-1300
Practice Address - Fax:614-586-4191
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0240401223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics