# KENNETH W. GIBBS, D.M.D., P.A.

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

## Provider details

- **NPI number:** 1740447002
- **Authorized official:** DR. KENNETH W GIBBS (PRESIDENT)
- **Authorized official phone:** (252) 633-5544

## Contact information

- **Practice address:** 901 PINE TREE DR, NEW BERN, NC 28562-4435
- **Practice address phone:** (252) 633-5544
- **Practice address fax:** (252) 633-9788
- **Mailing address:** 901 PINE TREE DR, NEW BERN, NC 28562-4435
- **Mailing address phone:** (252) 633-5544
- **Mailing address fax:** (252) 633-9788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | NC3550 | NC | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/22/2008