Individual
DR. SCOTT WESLEY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3813 S KIWANIS CIR, SIOUX FALLS, SD 57105-4266
(605) 332-1235
Mailing address
2124 S 1ST AVE, SIOUX FALLS, SD 57105-3902
(605) 366-4118
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
M944
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M944
DENTAL LICENSE
SD
Enumeration date
01/04/2007
Last updated
07/08/2007
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