Organization
KENNETH W. GIBBS, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH W GIBBS (PRESIDENT)
(252) 633-5544
Entity
Organization
Contact information
Practice address
901 PINE TREE DR, NEW BERN, NC 28562-4435
(252) 633-5544
(252) 633-9788
Mailing address
901 PINE TREE DR, NEW BERN, NC 28562-4435
(252) 633-5544
(252) 633-9788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC3550
NC
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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