# GIBSON FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ashland Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407448087
- **Authorized official:** ALISSA GIBSON DDS (OFFICER)
- **Authorized official phone:** (419) 281-7771

## Contact information

- **Practice address:** 926 KATHERINE AVE STE 1, ASHLAND, OH 44805-3625
- **Practice address phone:** (419) 281-7771
- **Mailing address:** 926 KATHERINE AVE STE 1, ASHLAND, OH 44805-3625
- **Mailing address phone:** (419) 281-7771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2021
- **Last updated:** 02/05/2021
