Individual
MATTHEW GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10871 COUNTY LINE RD STE A, MADISON, AL 35758
(256) 724-3530
(256) 325-0727
Mailing address
581 HUGHES RD, MADISON, AL 35758-8979
(256) 772-0041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6093 C1
AL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6093
AL
Other
Enumeration date
06/30/2014
Last updated
02/17/2023
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