Individual provider · Type 1 NPI

Rex Shannon Gibson, D.D.S

Pediatric Dentistry · Bend, OR

NPI number 1174730287 Active

Practice location

1245 SE 3rd St, Ste #A-1
Bend, OR 97702-2161

Call (541) 318-5688 Map

Fax (541) 322-5581

Mailing address

63870 Johnson Rd
Bend, OR 97701-5218

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD7724 (OR)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1174730287

Rex Shannon Gibson, D.D.S's National Provider Identifier is 1174730287, issued on May 17, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bend, OR. The record was last updated on Jan 15, 2008.