Individual
AMBER SIMMONS GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
20 E MAIN ST, HOHENWALD, TN 38462-1420
(931) 796-7577
Mailing address
52 TOLLIE MARKHAM RD, DYER, TN 38330-4225
(731) 414-5632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11378
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11378
DDS LICENSE
TN
Enumeration date
07/27/2020
Last updated
07/27/2020
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