Individual provider · Type 1 NPI

Jimmy R. Gibson Jr., DDS

Pediatric Dentistry · Brooklyn, NY

NPI number 1629699079 Active

Practice location

1 Brookdale Plz
Brooklyn, NY 11212-3139

Call (718) 240-5000 Map

Mailing address

415 Summer Glen Ct
Stone Mountain, GA 30087-5522

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X2901601226 (MI)

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 1629699079

Jimmy R. Gibson Jr., DDS's National Provider Identifier is 1629699079, issued on Apr 27, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 12, 2023.