Individual
JOHN THOMAS GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
50 STREET OF DREAMS, MARTINSBURG, WV 25403-1135
(304) 267-7880
Mailing address
2001 PROFESSIONAL CT, MARTINSBURG, WV 25401-8808
(304) 267-7880
(304) 267-7646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV3599
WV
Other
Enumeration date
11/30/2006
Last updated
08/03/2020
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