MICHAEL GIBSON (NPI# 1114090131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114090131 |
| Entity Type | Individual |
| Full Name | MICHAEL GIBSON |
| Credential | D.D.S. |
| Practice Address |
424 E Center Avenue Dorchester WI 54425-0236 |
| Mailing Address |
Po Box 236 Dorchester WI 54425-0236 |
| Practice Telephone | 7156545911 |
| Practice Fax Number | 7156545937 |
| Mailing Telephone | 7156545911 |
| Mailing Fax Number | 7156545937 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2855 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33434800 | 05 | |
| WI | FAMILY HEALTH CENTER | 3432 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667868 | Michael Gibson | Pharmacist | 5674 Highway 11 E, Piney Flats, TN 37686-4461 | 2020-04-06 |
| 1952697781 | Michael Ryan Gibson | Physical Therapy Assistant | 122 Sandstone Dr Apt 12, Beckley, WV 25801-2843 | 2011-06-20 |
| 1881863355 | Michael Scott Gibson | Driver | 194 Jones Rd, Sneedville, TN 37869-3639 | 2008-02-28 |
| 1043496797 | Michael Bennie Gibson | Registered Nurse | 1142 Robin Hood Ln, Norman, OK 73072-7502 | 2008-01-11 |
| 1609071984 | Michael Jeremiah Gibson | Preventive Medicine | 401 Thompson Blvd, Union, SC 29379-1553 | 2007-06-18 |
| 1447246640 | Michael Spencer Gibson | Radiology | Nnmc, Radiology, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2005-09-22 |
| 1346249034 | Michael L Gibson | Anesthesiology | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | 2005-07-15 |
| 1366907172 | Michael Gibson | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-02-06 |
| 1285199364 | Michael S Gibson | Counselor | 850 Swing Ln Unit 1, Medford, OR 97501-1790 | 2019-02-04 |
| 1114494994 | Michael Gibson | Case Manager/Care Coordinator | 1221 W Lakeview Ave, Pensacola, FL 32501-1857 | 2018-10-30 |
| Street Address |
424 E CENTER AVENUE |
| City | DORCHESTER |
| State | WI |
| Zip Code | 54425-0236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386037711 | Annette M Molitor | Registered Nurse | W178 Hickory Rd, Dorchester, WI 54425-9421 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655325 | Cassio Do Nascimento | Massage Therapist | 40 Sudan St Apt 3, Dorchester, MA 02125-2087 | 2020-09-24 |
| 1356957849 | Alaa Khoja | Student in an Organized Health Care Education/Training Program | 66 Beach Point Pl Apt 506, Dorchester, MA 02125-3559 | 2020-09-20 |
| 1427662477 | Rhain Toussaint | Behavior Technician | 5 Topliff St, Dorchester, MA 02122-1184 | 2020-09-06 |
| 1639783780 | Patricia Varela | Nurse Practitioner | 48 Percival St, Dorchester, MA 02122-1992 | 2020-09-05 |
| 1821601907 | Brittny Dematteo | Behavior Technician | 19 Chickatawbut St, Dorchester, MA 02122-2207 | 2020-08-28 |
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1306457361 | Indigo Young | Speech-Language Pathologist | 11 Island View Pl, Dorchester, MA 02125-3262 | 2020-08-13 |
| 1265043632 | Smile Studio Pllc | Clinic/Center | 1428 Dorchester Ave # 1, Dorchester, MA 02122-2922 | 2020-08-11 |
| 1508476243 | Trish Ha Dang | Dentist | 400 Savin Hill Ave Apt 7, Dorchester, MA 02125-3325 | 2020-08-07 |
| 1932719226 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 500 Geneva Ave, Dorchester, MA 02122-1321 | 2020-08-03 |
| Find all providers in DORCHESTER | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136933 | Reynaldo Christy Riboul | Dentist | 12 Grant St Unit 2, Dorchester, MA 02125-1223 | 2020-05-26 |
| 1134652175 | Sage Family Dental | Dentist | 114 Washington Street, Dorchester, MA 02121 | 2017-04-06 |
| 1699133314 | Divya Upadhyay | Dentist | 614 Blue Hill Ave, Dorchester, MA 02121-3257 | 2016-02-09 |
| 1508176595 | Hoangvu M Vo | Dentist | 1370 Dorchester Ave # 32, Dorchester, MA 02122-2921 | 2010-10-08 |
| 1134378656 | Xuan Duong | Dentist | 1417 Dorchester Ave, Dorchester, MA 02122-2915 | 2008-09-09 |
| 1497968952 | Peach B Dore-tyrell | Dentist | 172 Ashmont St., Dorchester, MA 02124 | 2007-05-08 |
| 1144341603 | Nathan Quoc Duong | Dentist | 253 Adams St, Dorchester, MA 02122-1334 | 2007-04-03 |
| 1942334198 | John A Sifakis | Dentist | 771 Adams St, Dorchester, MA 02122-1919 | 2007-03-16 |
| 1588704399 | Michael Peter Folan | Dentist | 722 Adams St, Dorchester, MA 02122-1921 | 2007-02-08 |
| 1730243684 | Frank T Nghiem | Dentist | 1510 Dorchester Ave, 1510 Dorchester Ave, Dorchester, MA 02122-1327 | 2006-12-21 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 54425 |
Please comment or provide details below to improve the information on MICHAEL GIBSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.