Provider Demographics
NPI:1689498818
Name:CHAD N GUBLER, DDS CASINO DIRECT, LTD
Entity type:Organization
Organization Name:CHAD N GUBLER, DDS CASINO DIRECT, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:N
Authorized Official - Last Name:GUBLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-349-6350
Mailing Address - Street 1:1701 W CHARLESTON BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2309
Mailing Address - Country:US
Mailing Address - Phone:702-322-2200
Mailing Address - Fax:702-330-5781
Practice Address - Street 1:4399 STEWART AVE STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-3239
Practice Address - Country:US
Practice Address - Phone:702-453-6660
Practice Address - Fax:702-761-4564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty