Individual provider · Type 1 NPI
Michael Gibson, DDS
General Practice Dentistry · Dorchester, WI
NPI number
1114090131
Active
Practice location
424 E Center Avenue
Dorchester, WI 54425-0236
Fax (715) 654-5937
Mailing address
PO Box 236
Dorchester, WI 54425-0236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2855 (WI) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1114090131
Michael Gibson, DDS's National Provider Identifier is 1114090131, issued on Nov 16, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dorchester, WI. The record was last updated on Jul 8, 2007.