Thomas W Gibbs, DDS Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Bloomington, IN

NPI

1497798136

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

12006707A (IN)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-13

Last updated

2007-07-08