| William E Gipson Dds Pc | |
|
6 So Sixth Ave La Grange IL 60525-2401 | |
| (708) 352-1495 | |
| (708) 352-1524 |
| Full Name | William E Gipson Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6 So Sixth Ave, La Grange, Illinois |
| Authorized Official Name and Position | William Eugene Gipson (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 7083521495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William E Gipson Dds Pc 6 So Sixth Ave La Grange IL 60525-2401 Ph: (708) 352-1495 | William E Gipson Dds Pc 6 So Sixth Ave La Grange IL 60525-2401 Ph: (708) 352-1495 |
| NPI Number | 1497979645 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 06/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497979645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019014566 (Illinois) | Primary |
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