NPI 1073963625

Gibson Dental LLC

Organisation General Practice Dentistry Madison, AL

Practice location

Address: 10871 County Line Rd Suite a, Madison, AL 35758-3667
Phone: (256) 724-3530
Fax: (256) 615-8740

Authorised official

Name: Matt Gibson
Title: Dentist
Phone: (256) 724-3530

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 6093 (AL)

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Registry record

NPI: 1073963625
Entity type: Organization
NPI issued: 14 Jun 2016
Record last updated: 14 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.