DR. CHRISTOPHER WALTER GIBSON (NPI# 1629462429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629462429 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER WALTER GIBSON |
| Credential | DMD |
| Practice Address |
3630 Hill Blvd Ste 101 Jefferson Valley NY 10535-1503 |
| Mailing Address |
1510 Lexington Ave Apt 9h New York NY 10029-7161 |
| Practice Telephone | 9142457100 |
| Mailing Telephone | 9787588728 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
059580-1 | NY | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
11815 | CT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1478 Post Rd, Fairfield, CT 068245938 | 2032556851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163665 | Christopher Wayne Gibson | Social Worker | 190 S Main St Ste B, Centerville, UT 84014-2839 | 2018-11-21 |
| 1295211092 | Christopher B Gibson | Dentist | 120 S Denton Tap Rd # 270a, Coppell, TX 75019-3297 | 2018-07-14 |
| 1669912598 | Christopher Gibson | Psychologist | 2810 Dorchester Dr, 17, Oklahoma City, OK 73120-4561 | 2017-02-25 |
| 1245642784 | Christopher Gordon Gibson | Dentist | 270 Brauer Hl, Orthodontics Cb #7450, Chapel Hill, NC 27599-7450 | 2014-06-02 |
| 1811511629 | Christopher Charles Gibson | Pharmacist | 6204 Montgomery Rd, Cincinnati, OH 45213-1404 | 2020-06-08 |
| 1922501733 | Christopher Gibson | Internal Medicine | 1550 Sheridan Dr Ste 203, Lancaster, OH 43130-1380 | 2018-03-18 |
| 1023480324 | Christopher Raymond Gibson | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2015-10-26 |
| 1477939452 | Christopher Gibson | Behavioral Analyst | 102 Westlake Dr, Suite 105, West Lake Hills, TX 78746-5394 | 2015-08-03 |
| 1578902276 | Christopher Michael Gibson | Pediatrics | 800 Washington St # 286, Floating Hospital for Children, Tufts Medical Center, Boston, MA 02111-1552 | 2013-06-17 |
| 1285929760 | Christopher Anthony Gibson | Chiropractor | 33400 13th Pl S, Federal Way, WA 98003-6357 | 2011-06-13 |
| Street Address |
3630 HILL BLVD STE 101 |
| City | JEFFERSON VALLEY |
| State | NY |
| Zip Code | 10535-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529902 | Dianne Ryan | Dental Hygienist | 3630 Hill Blvd Ste 101, Jefferson Valley, NY 10535-1503 | 2020-02-07 |
| 1962913897 | Valley Dental Designs, PC | Clinic/Center | 3630 Hill Blvd Ste 101, Jefferson Valley, NY 10535-1503 | 2017-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904589 | John Joseph Duff | Social Worker | 3630 Hill Blvd., Jefferson Valley, NY 10535 | 2016-11-08 |
| 1518419639 | Zoila Morell-okeefe | Registered Nurse | 3795 Nelson Avenue, #668, Jefferson Valley, NY 10535 | 2016-10-25 |
| 1790060424 | Jose Rafael Lugay | Dentist | 3654 Lee Blvd., Jefferson Valley, NY 10535 | 2011-10-13 |
| 1730462672 | Masooma Saba Zaidi | Dentist | 3654 Lee Blvd, Jefferson Valley, NY 10535 | 2011-09-27 |
| 1619291804 | Stacey Leigh Engelberg | Pharmacist | 3663 Hill Blvd, Jefferson Valley Pharmacy, Jefferson Valley, NY 10535 | 2010-03-17 |
| 1548402142 | Jefferson Valley Dental Associates, P.C. | Dentist | 3654 Lee Rd, Jefferson Valley, NY 10535 | 2009-03-27 |
| 1841318847 | Aleia Journez Codner | Speech-Language Pathologist | 3663 Lee Blvd, Jefferson Valley, NY 10535 | 2007-03-27 |
| 1033285879 | Frederick William Cich | Chiropractor | 691 East Main Street, Jefferson Valley, NY 10535 | 2006-11-24 |
| 1124107743 | Pilar M Verdesoto | Social Worker | 3651 Hill Blvd, Jefferson Valley, NY 10535 | 2006-11-03 |
| 1477653376 | Mark Robert Honig | Psychologist | 3630 Hill Boulevard, Suite 204, Jefferson Valley, NY 10535 | 2006-09-22 |
| Find all providers in zip 10535 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245323625 | Benjamin Dancygier | Dentist | 3630 Hill Blvd, Suite #401, Jefferson Valley, NY 10535-1502 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON VALLEY |
| Zip Code | 10535 |
Please comment or provide details below to improve the information on DR. CHRISTOPHER WALTER 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.