Individual
BILL J GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
116 HILLS PLZ, CHARLESTON, WV 25387-2438
(304) 760-6336
(304) 720-4813
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 760-6336
(304) 720-4813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2220
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135148000
—
WV
Enumeration date
12/19/2006
Last updated
08/07/2026
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