Organization
W.SIDNEY GIBSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WENDY GRICE BULLARD (RECEPTIONIST)
(910) 642-7741
Entity
Organization
Contact information
Practice address
904 SPIVEY RD, WHITEVILLE, NC 28472-2915
(910) 642-7741
(910) 640-2373
Mailing address
904 SPIVEY RD, WHITEVILLE, NC 28472-2915
(910) 642-7741
(910) 640-2373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3921
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993181
—
NC
Enumeration date
01/16/2008
Last updated
01/16/2008
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