Individual
ROSS DAVID GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17 N MECHANIC ST, LEBANON, OH 45036-1801
(513) 932-2851
Mailing address
17 N MECHANIC ST, LEBANON, OH 45036-1801
(513) 932-2851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10313
KY
122300000X
Dentist
Primary
30.026617
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2019
Last updated
09/07/2022
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