Individual
DR. MICHAEL JULIAN GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
617 W SALCEDO RD, SIKESTON, MO 63801-4613
(573) 620-0523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022023222
MO
Other
Enumeration date
05/24/2022
Last updated
06/27/2022
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