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Michael Gibson, DDS
General Practice Dentistry in Dorchester, Wisconsin
NPI 1114090131

Michael Gibson is a General Practice Dentistry based in Dorchester, WI and is specialized in General Practice. Michael Gibson practices in Dorchester, WI and has the professional credentials of DDS. The NPI Number for Michael Gibson is 1114090131 and holds a License No. 2855 (Wisconsin).

The current practice location address for Michael Gibson is 424 E Center Avenue, Dorchester, WI and can be reached out via phone at 715-654-5911 and via fax at 715-654-5937.

Location: 424 E Center Avenue, Dorchester, WI, 54425-0236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114090131
Provider Name
Michael Gibson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
424 E Center Avenue, Dorchester, WI, 54425-0236
Phone Number
715-654-5911
Fax Number
715-654-5937
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33434800 05 WI
3432 01 WI FAMILY HEALTH CENTER
institution
Provider Business Practice Location Address Details
Address
424 E Center Avenue
City
Dorchester
State
Wisconsin
Zip
54425-0236
Phone Number
715-654-5911
Fax Number
715-654-5937
person
Provider Business Mailing Address Details
Address
424 E Center Avenue
City
Dorchester
State
Wisconsin
Zip
54425-0236
Phone Number
715-654-5911
Fax Number
715-654-5937
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2855 (Wisconsin)
Definition
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.
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