Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL GIBSON, D.D.S.
Active Sole ProprietorMICHAEL GIBSON, D.D.S. is a General Dentistry healthcare provider located in DORCHESTER, Wisconsin. NPI 1114090131 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · DORCHESTER, WI
Registration Details
- NPI Number
- 1114090131
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.777345491 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2855 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
424 E CENTER AVENUEDORCHESTER, WI, 544250236Browse WI providers · Browse ZIP 54425
- Phone
- 7156545911
- Fax
- 7156545937
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.