Dr Edmund Warren Gubler Jr, DMD in Canton, GA

Dr Edmund Warren Gubler Jr, DMD is a medicare enrolled "Dentist" provider in Canton, Georgia. His current practice location is 2020 Cumming Hwy Ste 100, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 741-0439.

Dr Edmund Warren Gubler Jr is licensed to practice in Georgia (license number DN123865) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053930289.

Contact Information

	Dr Edmund Warren Gubler Jr, DMD
	2020 Cumming Hwy Ste 100, Canton, GA 30115-8071
	(770) 741-0439
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Edmund Warren Gubler Jr
Gender	Male
Speciality	Dentist
Location	2020 Cumming Hwy Ste 100, Canton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053930289
Provider Enumeration Date: 04/08/2020
Last Update Date: 07/21/2025

Medicare PECOS Information:

PECOS PAC ID: 3072969104
Enrollment ID: I20231026001403

Medical Identifiers

Medical identifiers for Dr Edmund Warren Gubler Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053930289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN123865 (Georgia)	Primary
122300000X	Dentist	DEN-DEN-LIC-21395 (Montana)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Edmund Warren Gubler Jr allows following entities to bill medicare on his behalf.

Entity Name	Southwest Utah Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659358687 PECOS PAC ID: 5799692398 Enrollment ID: O20050412000991

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edmund Warren Gubler Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Edmund Warren Gubler Jr, DMD 2020 Cumming Hwy Ste 100, Canton, GA 30115-8071 Ph: (770) 741-0439	Dr Edmund Warren Gubler Jr, DMD 2020 Cumming Hwy Ste 100, Canton, GA 30115-8071 Ph: (770) 741-0439

Reviews and Comments

Dentist in Canton, GA

Dr. Stephen C Hutchins, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 218 Riverstone Dr, Canton, GA 30114 Phone: 770-479-3846 Fax: 770-479-6815
Shaletha M Bolden, DDS, MSD Dentist Medicare: Medicare Enrolled Practice Location: 1425 Riverstone Pkwy Ste 200, Canton, GA 30114 Phone: 770-479-0600
Dr. Isaac Sam Steinmetz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1425 Riverstone Pkwy Ste 200, Canton, GA 30114 Phone: 706-479-0600
Dr. Sydney Okonoboh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2030 Cumming Hwy Ste 110, Canton, GA 30115 Phone: 678-818-8480
Dr. Brenda Gail Fritz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 104 Prominence Point Pkwy, Suite 102, Canton, GA 30114 Phone: 770-345-2551 Fax: 770-345-2234
Dr. William Dirk Russell, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8014 Cumming Hwy Suite 401, Canton, GA 30115 Phone: 770-345-2010 Fax: 770-345-0571

Dr Edmund Warren Gubler Jr, DMD - Medicare Dentist in Canton, GA