Individual provider · Type 1 NPI
Gipson Mark Kingry, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Montgomery, AL
Practice location
8101 Seaton Pl., Suite A
Montgomery, AL 36116-7205
Fax (334) 409-9933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 4440 (AL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1013073378
Gipson Mark Kingry, DMD's National Provider Identifier is 1013073378, issued on Dec 29, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Montgomery, AL. The record was last updated on Jul 8, 2007.