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Dr. Susan Ballou Gibson, DMD,MSD
Periodontist in Somerset, Kentucky
NPI 1902958887

Susan Ballou Gibson is a Periodontist based in Somerset, KY and is specialized in Periodontics. Susan Ballou Gibson practices in Somerset, KY and has the professional credentials of DMD,MSD. The NPI Number for Susan Ballou Gibson is 1902958887 and holds a License No. 6224 (Kentucky).

The current practice location address for Susan Ballou Gibson is 110 Hardin Ln, Somerset, KY and can be reached out via phone at 606-678-9664 and via fax at 606-679-1457. You can also correspond with Susan Ballou Gibson through the mailing address at 110 HARDIN LN, SOMERSET, KY - 42503-3818 (mailing address contact number: 606-678-9664).

Location: 110 Hardin Ln, Somerset, KY, 42503-3818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902958887
Provider Name
Susan Ballou Gibson
Credential
DMD,MSD
Provider Entity Type
Individual
Gender
Female
Address
110 Hardin Ln, Somerset, KY, 42503-3818
Phone Number
606-678-9664
Fax Number
606-679-1457
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
110 Hardin Ln
City
Somerset
State
Kentucky
Zip
42503-3818
Phone Number
606-678-9664
Fax Number
606-679-1457
person
Provider Business Mailing Address Details
Address
110 Hardin Ln
City
Somerset
State
Kentucky
Zip
42503-3818
Phone Number
606-678-9664
Fax Number
606-679-1457
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
6224 (Kentucky)
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 structures and tissues.
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