WILLIAM B GIBSON, DMD, PSC (NPI# 1275721086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275721086 |
| Entity Type | Organization |
| Organization Name | WILLIAM B GIBSON, DMD, PSC |
| Practice Address |
200 Medical Center Dr Ste 2-o Hazard KY 41701-9466 |
| Practice Telephone | 6064870088 |
| Practice Fax Number | 6064871849 |
| Mailing Telephone | 6064870088 |
| Mailing Fax Number | 6064871849 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | MR. WILLIAM B GIBSON (CEO) |
| Authorized Official Telephone | 6064870088 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7055 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64342546 | 05 |
| Street Address |
200 MEDICAL CENTER DR STE 2-O |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556538 | Sheri Lynne Ratliff | Nurse Practitioner | 200 Medical Center Dr, Suite 2d, Hazard, KY 41701-9466 | 2005-05-23 |
| 1942765011 | Katherine Lynn Cornett | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2019-02-04 |
| 1972077121 | Kaitlin Kassandra Watts | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2019-01-21 |
| 1295201432 | Christa Gail Duff | General Practice | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2018-10-15 |
| 1609357573 | Allie Brooks Davidson | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2018-08-28 |
| 1295214047 | Johnathan O'neil Davidson | Physician Assistant | 200 Medical Center Dr, Hazard, KY 41701 | 2018-08-13 |
| 1932606159 | Appalachian Regional Healthcare, Inc | Pharmacy | 200 Medical Center Dr, Suite A, Hazard, KY 41701-9466 | 2018-04-13 |
| 1295267102 | Jacqueline Messer | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2017-03-30 |
| 1306389648 | Tabitha Collins | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2016-11-18 |
| 1558814962 | Megan Brewer | Nurse Practitioner | 200 Medical Center Dr, Hazard, KY 41701-9466 | 2016-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1023510518 | Ralph M. Green Medical Pllc | Dentist | 3809 Poplar Level Rd Ste B, Louisville, KY 40213-1429 | 2018-03-01 |
| 1982058590 | Heine, Heine and Bowles, Pllc | Dentist | 2850 Lone Oak Rd Ste 5, Paducah, KY 42003-8043 | 2016-04-20 |
| 1326400789 | Corey Alan Taylor | Dentist | 800 Rose St # D-538, Lexington, KY 40536-7001 | 2016-03-24 |
| 1689060808 | Brandyn Herman | Dentist | Uk Dentistry At Turfland, 2195 Harrodsburg Rd, Ste 175, Lexington, KY 40536 | 2015-04-14 |
| 1619243268 | William J Curtis | Dentist | 800 Rose St Rm D508, University of Kentucky College of Dentistry, Lexington, KY 40536-0297 | 2012-03-28 |
| 1558651554 | Robbie James Harris IIi | Dentist | 4975 Alben Barkley Dr Ste 4, Paducah, KY 42001-6722 | 2011-04-11 |
| 1053541219 | Andrew William Ray | Dentist | 2421 Gooseberry Cir, Lexington, KY 40509-8567 | 2009-07-22 |
| 1407096639 | Charles William Langford Jr. | Dentist | 445 Stableford Cir, Owensboro, KY 42303-7771 | 2009-02-27 |
| 1477707784 | Nuckols & Cohron, P.s.c. | Dentist | 627 Eastwood St, Bowling Green, KY 42103-1688 | 2008-11-13 |
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| 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.