Individual
DR. MELISSA PAIGE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
5465 NE 1ST LN, OCALA, FL 34470-3418
(917) 224-4968
Mailing address
519 W JUBAL EARLY DR STE 101, WINCHESTER, VA 22601-6517
(540) 628-8533
(540) 750-4042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411741
VA
1223G0001X
General Practice Dentistry
050886-1
NY
1223P0221X
Pediatric Dentistry
Primary
0401411741
VA
Other
Enumeration date
08/15/2005
Last updated
04/12/2018
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