Individual
DR. TIMOTHY CURTIS GIBSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
617 MYERS RD STE B, SUMMERVILLE, SC 29486-8902
(843) 647-6052
Mailing address
617 MYERS RD STE B, SUMMERVILLE, SC 29486-8902
(843) 647-6052
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10619
SC
1223G0001X
General Practice Dentistry
11392
NC
Other
Enumeration date
05/31/2019
Last updated
02/21/2024
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