Organization
GIBSON DENTAL LLC
Active
Other names
Gibson Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT GIBSON (DENTIST)
(256) 724-3530
Entity
Organization
Contact information
Practice address
10871 COUNTY LINE RD, SUITE A, MADISON, AL 35758-3667
(256) 724-3530
(256) 615-8740
Mailing address
10871 COUNTY LINE RD, SUITE A, MADISON, AL 35758-3667
(256) 724-3530
(256) 615-8740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6093
AL
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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