William B Gibson, Dmd, Psc | |
200 Medical Center Dr Ste 2-o Hazard KY 41701-9466 | |
(606) 487-0088 | |
(606) 487-1849 |
Full Name | William B Gibson, Dmd, Psc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 200 Medical Center Dr, Hazard, Kentucky |
Authorized Official Name and Position | William B Gibson (CEO) |
Authorized Official Contact | 6064870088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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William B Gibson, Dmd, Psc 200 Medical Center Dr Ste 2-o Hazard KY 41701-9466 Ph: (606) 487-0088 | William B Gibson, Dmd, Psc 200 Medical Center Dr Ste 2-o Hazard KY 41701-9466 Ph: (606) 487-0088 |
NPI Number | 1275721086 |
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Provider Enumeration Date | 10/05/2007 |
Last Update Date | 10/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275721086 | NPI | - | NPPES |
64342546 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7055 (Kentucky) | Primary |
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Primary Care Centers Of Eastern Kentucky-dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Citizens Ln, Suite B, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-439-1400 |