| Thomas R Gibbs DDS PC | |
|
26 N Park Blvd Glen Ellyn IL 60137-5712 | |
| (630) 858-8800 | |
| (630) 858-3067 |
| Full Name | Thomas R Gibbs DDS PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26 N Park Blvd, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Thomas R Gibbs (DENTIST) |
| Authorized Official Contact | 6308588800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R Gibbs DDS PC 26 N Park Blvd Glen Ellyn IL 60137-5712 Ph: (630) 858-8800 | Thomas R Gibbs DDS PC 26 N Park Blvd Glen Ellyn IL 60137-5712 Ph: (630) 858-8800 |
| NPI Number | 1427179258 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427179258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1917714 (Illinois) | Primary |
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