Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN BALLOU GIBSON, DMD, MSD
ActiveDR. SUSAN BALLOU GIBSON, DMD, MSD is a Periodontology healthcare provider located in SOMERSET, Kentucky. NPI 1902958887 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SOMERSET, KY
Registration Details
- NPI Number
- 1902958887
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 18, 2007 (19.531857606863 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6224 (KY)
Practice Information
- Address
-
110 HARDIN LNSUITE 2SOMERSET, KY, 425033818Browse KY providers · Browse ZIP 42503
- Phone
- 6066789664
- Fax
- 6066791457
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in SOMERSET, KY
| Name | Credential | NPI |
|---|---|---|
| WILLIAM E CARROLL | DMD, MS | 1861545006 |
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.