# WILLIAM B GIBSON, DMD, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275721086
- **Authorized official:** MR. WILLIAM B GIBSON DMD (CEO)
- **Authorized official phone:** (606) 487-0088

## Contact information

- **Practice address:** 200 MEDICAL CENTER DR, STE 2-O, HAZARD, KY 41701-9466
- **Practice address phone:** (606) 487-0088
- **Practice address fax:** (606) 487-1849
- **Mailing address:** 200 MEDICAL CENTER DR, STE 2-O, HAZARD, KY 41701-9466
- **Mailing address phone:** (606) 487-0088
- **Mailing address fax:** (606) 487-1849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7055 | KY | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 10/05/2007
