Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Phattara Gibbs, DMD

Individual provider Dentist · NPI 1205094117

Dr. Phattara Gibbs, DMD is a Dentist in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4744 S Florida Ave
Lakeland, FL 33813-2181
Phone: (863) 644-1226
Fax: (863) 644-3756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN18269 (FL)

Record details

NPI number1205094117
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 28, 2008
Last updated in NPPESNovember 3, 2009

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