Individual
DR. JARED GIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
429 LAKE HOWELL RD, MAITLAND, FL 32751-5906
(078) 538-8774
Mailing address
429 LAKE HOWELL RD, MAITLAND, FL 32751-5906
(407) 853-8877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22868
FL
Other
Enumeration date
07/31/2017
Last updated
05/19/2025
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