NPI 1417911496

Jan Marie Gibson

Practitioner Dental Hygienist Fort Bliss, TX

Practice location

Address: Bldg 128 Chaffee Rd, US Army Dental Activity Attn: Dentac Headquearters, Fort Bliss, TX 79916
Phone: (915) 742-6001
Mailing address: 215 Sheridan Rd, El Paso, TX 79906-3803

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 6445 (WA)

Other Dental Hygienist providers in Texas →

Registry record

NPI: 1417911496
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2006
Record last updated: 16 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.