| Gibson Family Dentistry, Pllc | |
|
5089 Elk River Road N. Elkview WV 25071 | |
| (304) 965-1200 | |
| (304) 965-6158 |
| Full Name | Gibson Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5089 Elk River Road N., Elkview, West Virginia |
| Authorized Official Name and Position | Bill J. Gibson (MANAGING MEMBER) |
| Authorized Official Contact | 3049651200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Family Dentistry, Pllc Po Box 9 Elkview WV 25071-0009 Ph: (304) 965-1200 | Gibson Family Dentistry, Pllc 5089 Elk River Road N. Elkview WV 25071 Ph: (304) 965-1200 |
| NPI Number | 1578998381 |
|---|---|
| Provider Enumeration Date | 09/11/2013 |
| Last Update Date | 02/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578998381 | NPI | - | NPPES |
| 0135148000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2220 (West Virginia) | Primary |
Elk Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4968 Elk River Rd, Elkview, WV 25071 Phone: 304-965-6661 Fax: 304-965-6684 |