Dr Kevin Gibbs, DMD is a
Dentist based in North Pekin, Illinois. Dr Kevin Gibbs is licensed to practice in Illinois (license number 019021806) and his current practice location is
137 Radio City Dr, Ste C, North Pekin, Illinois. He can be reached at his office (for appointments etc.) via phone at
(773) 407-8304.
NPI number for Dr Kevin Gibbs is 1477923712 and his current mailing address is Po Box 268111, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477923712.
Healthcare Provider's Profile
| Full Name | Dr Kevin Gibbs |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 137 Radio City Dr, North Pekin, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477923712
- Provider Enumeration Date: 09/29/2015
- Last Update Date: 09/29/2015
Medical Identifiers
Medical identifiers for Dr Kevin Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477923712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 019021806 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin Gibbs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kevin Gibbs, DMD
Po Box 268111,
Chicago, IL 60626-8111
Ph: () - | Dr Kevin Gibbs, DMD
137 Radio City Dr, Ste C,
North Pekin, IL 61554-1569
Ph: (773) 407-8304 |
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