Provider Demographics
NPI:1871744102
Name:GUMBS, ANNA A (DMD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:A
Last Name:GUMBS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8128
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20907
Mailing Address - Country:US
Mailing Address - Phone:301-588-4411
Mailing Address - Fax:301-588-0938
Practice Address - Street 1:8701 GEORGIA AVE STE 702
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3713
Practice Address - Country:US
Practice Address - Phone:301-588-4411
Practice Address - Fax:301-588-0938
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10007431223G0001X
MD142681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice