Dr. Micahel Jason Gambill
D.D.S. | Pediatric Dentist
2285 Benton Rd Ste C100, Bossier City
Louisiana, 71111-3465
318-742-9333 318-747-9089
Maps & DirectionsDr. Micahel Jason Gambill is a Bossier City, Louisiana based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Micahel Jason Gambill is
6422 for Pediatric Dentistry in Louisiana. His current practice location is
2285 Benton Rd Ste C100, Bossier City. Patients can reach him at
318-742-9333.
Dr. Micahel Jason Gambill provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Micahel Jason Gambill speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Micahel Jason Gambill |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2285 Benton Rd Ste C100, Bossier City, Louisiana, 71111-3465 |
| Phone: | 318-742-9333 |
| Fax: | 318-747-9089 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1023454071 |
| NPI Enumeration Date: | 17 May, 2013 |
| NPI Last Update On: | 16 Nov, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Micahel Jason Gambill are as mentioned below.
| License Number | Specialization | State | Status | |
| 6422 | Pediatric Dentistry | Louisiana | Primary | |
| 00201959 | Pediatric Dentistry | Colorado | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Micahel Jason Gambill such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 30872 | Medicaid | Louisiana | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2285 Benton Rd Ste C100, Bossier City, Louisiana |
| Zip: | 71111-3465 |
| Phone Number: | 318-742-9333 |
| Fax Number: | 318-747-9089 |
Patients can reach Dr. Micahel Jason Gambill at
2285 Benton Rd Ste C100, Bossier City, Louisiana or can
call to book an appointment on 318-742-9333.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.