Organization
WILLIAM B GIBSON, DMD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B GIBSON DMD (CEO)
(606) 487-0088
Entity
Organization
Contact information
Practice address
200 MEDICAL CENTER DR, STE 2-O, HAZARD, KY 41701-9466
(606) 487-0088
(606) 487-1849
Mailing address
200 MEDICAL CENTER DR, STE 2-O, HAZARD, KY 41701-9466
(606) 487-0088
(606) 487-1849
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7055
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64342546
—
KY
Enumeration date
10/05/2007
Last updated
10/05/2007
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