Individual
DR. TIMOTHY DANIEL GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1713 E 10TH ST STE A, JEFFERSONVILLE, IN 47130-7100
(812) 283-3539
Mailing address
1713 E 10TH ST STE A, JEFFERSONVILLE, IN 47130-7100
(812) 283-3539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009564A
IN
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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