Pamela A Gibson, DMD
Dentist in Southport, Connecticut
1497098206- Practice location
- 10 John St, Southport, CT 06890-1437
- Phone
- 203-255-5142
- Fax
- 203-259-5954
- Last updated
- July 20, 2020
Pamela A Gibson is a Dentist based in Southport, CT. Pamela A Gibson practices in Southport, CT and has the professional credentials of DMD. The NPI Number for Pamela A Gibson is 1497098206 and holds a License No. 11244 (CT). The current practice location address for Pamela A Gibson is 10 John St, Southport, CT 06890-1437 and can be reached out via phone at 203-255-5142 and via fax at 203-259-5954.
Provider Profile Details
- NPI Number
- 1497098206
- Provider Name
- Pamela A Gibson
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 John St, Southport, CT 06890-1437
- Phone Number
- 203-255-5142
- Fax Number
- 203-259-5954
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Other Names
- Pamela Karkut, DMD (Former Name)
- Provider Enumeration Date
- March 29, 2013
- Last Update Date
- July 20, 2020
- Certification Date
- July 20, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 John St
Southport, CT 06890-1437 - City
- Southport
- State
- Connecticut
- Zip
- 06890-1437
- Phone Number
- 203-255-5142
- Fax Number
- 203-259-5954
Provider Business Mailing Address Details
- Address
- 10 John St
Southport, CT 06890-1437 - City
- Southport
- State
- CT
- Zip
- 06890-1437
- Phone Number
- 203-255-5142
- Fax Number
- 203-259-5954
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 11244
- License State (2)
- CT
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Southport, CT
View all Dentists in Southport →Frequently Asked Questions
What is the NPI number of Pamela A Gibson, DMD?
The NPI number of Pamela A Gibson, DMD is 1497098206. It was assigned on March 29, 2013 and is currently active in the NPPES registry.
What is the specialty of Pamela A Gibson, DMD?
Pamela A Gibson, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 11244.
Where does Pamela A Gibson, DMD practice?
The practice location is 10 John St, Southport, CT 06890-1437. The office can be reached at 203-255-5142 (phone) or 203-259-5954 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497098206 directly on the NPPES registry website.