Organization
GIBSON ORTHODONTICS LLC
Active
Other names
Gibson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW GIBSON DMD (MANAGING MEMBER)
(256) 797-6135
Entity
Organization
Contact information
Practice address
581 HUGHES RD, MADISON, AL 35758-8979
(256) 772-0041
Mailing address
581 HUGHES RD, MADISON, AL 35758-8979
(256) 772-0041
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
02/17/2023
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