Individual
DR. ANDREW HOPKINS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 LAKE ST, SALISBURY, MD 21801
(410) 334-3401
(410) 546-5090
Mailing address
108 EAST MAIN STREET, WICOMICO COUNTY HEALTH DEPARTMENT VILLAGE DENTAL CLINIC, SALISBURY, MD 21801
(410) 334-3401
(410) 546-5090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3615
WV
122300000X
Dentist
8379
CO
122300000X
Dentist
Primary
LL504
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277384
DBP
MD
01
—
9181301
DORAL
MD
Enumeration date
09/13/2006
Last updated
07/08/2007
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