DR. Joel D Gibson, DMD PA

NPI #1215068630 in Rosedale, Mississippi

Provider Information

NPI Number: 1215068630
Entity Type: Individual
Name: DR. Joel D Gibson, DMD PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD PA
Enumeration Date: Mar 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 512 LEVEE ST
City: Rosedale
State: Mississippi
ZIP Code: 38769
Phone: (662) 759-6603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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