| Candice L. Gibbons, D.d.s., P.c. | |
|
2449 E Joliet Hwy New Lenox IL 60451-2592 | |
| (815) 485-2536 | |
| (815) 485-2645 |
| Full Name | Candice L. Gibbons, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2449 E Joliet Hwy, New Lenox, Illinois |
| Authorized Official Name and Position | Candice Leigh Gibbons (PRESIDENT) |
| Authorized Official Contact | 8154852536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candice L. Gibbons, D.d.s., P.c. 2449 E Joliet Hwy New Lenox IL 60451-2592 Ph: (815) 485-2536 | Candice L. Gibbons, D.d.s., P.c. 2449 E Joliet Hwy New Lenox IL 60451-2592 Ph: (815) 485-2536 |
| NPI Number | 1184712952 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184712952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.024459 (Illinois) | Primary |
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