| Philip L. Gibson, Dmd, Pa | |
|
13 Center St Gulf Breeze FL 32561-4370 | |
| (850) 932-2266 | |
| (850) 934-1242 |
| Full Name | Philip L. Gibson, Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 13 Center St, Gulf Breeze, Florida |
| Authorized Official Name and Position | Philip Lee Gibson (OWNER) |
| Authorized Official Contact | 8509322266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip L. Gibson, Dmd, Pa 13 Center St Gulf Breeze FL 32561-4370 Ph: (850) 932-2266 | Philip L. Gibson, Dmd, Pa 13 Center St Gulf Breeze FL 32561-4370 Ph: (850) 932-2266 |
| NPI Number | 1366834491 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366834491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16723 (Florida) | Primary |
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