# GIBSON & LEAVITT ORAL, MAXILLOFACIAL AND IMPLANT SURGERY

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

## Provider details

- **NPI number:** 1871820530
- **Authorized official:** RYAN C GIBSON DDS (OWNER)
- **Authorized official phone:** (702) 685-3700

## Contact information

- **Practice address:** 670 S. GREEN VALLEY PKWY \#115, HENDERSON, NV 89052
- **Practice address phone:** (702) 685-3700
- **Practice address fax:** (702) 685-3701
- **Mailing address:** 670 S. GREEN VALLEY PKWY \#115, HENDERSON, NV 89052
- **Mailing address phone:** (702) 685-3700
- **Mailing address fax:** (702) 685-3701

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2009
- **Last updated:** 08/24/2022