Susan Ballou Gibson in Somerset - Periodontics
Susan Ballou Gibson - NPI 1902958887
Susan Ballou Gibson is a Periodontics in Somerset, Kentucky. Susan Ballou Gibson practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Susan Ballou Gibson is 1902958887. The last update date is 2007-07-08.
Susan Ballou Gibson's current location address is 110 Hardin Ln, Somerset, Kentucky. You can contact this provider via phone number 6066789664 and fax number 6066791457. The mailing address for Susan Ballou Gibson is 110 Hardin Ln, Somerset, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Ballou Gibson |
|---|---|
| Address | 110 Hardin Ln, Somerset, Kentucky |
| Phone Number | 6066789664 |
| Fax Number | 6066791457 |
| Sole Proprietor | N |
| Credentials | DMD, MSD |
NPI Number Detail
| NPI Number | 1902958887 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 110 Hardin Ln |
|---|---|
| City | Somerset |
| State | Kentucky (KY) |
| Post Code | 425033818 |
| Phone Number | 6066789664 |
| Fax Number | 6066791457 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 6224 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Ballou Gibson by the Centers for Medicare & Medicaid Services?
The Susan Ballou Gibson has been assigned the NPI (National Provider Identifier) 1902958887 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Susan Ballou Gibson located?
The Susan Ballou Gibson is located at 110 Hardin Ln, Somerset, KY 425033818.
What is the Susan Ballou Gibson's specialty and taxonomy code?
The Susan Ballou Gibson's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902958887 to Susan Ballou Gibson?
The Centers for Medicare & Medicaid Services originally issued the 1902958887 to Susan Ballou Gibson on 2007-01-18.
When was the information regarding Susan Ballou Gibson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan Ballou Gibson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.