NPI 1245335819 · live from the CMS NPI Registry
James Isaac Gibson, D.D.S., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Henderson, NV. National Provider Identifier 1245335819, active.
NPI record
| NPI | 1245335819 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 70 East Horizon Ridge, Henderson, NV 89015 |
| Practice phone | 775-223-3309 |
| Mailing address | 838 Park Lane, Henderson, NV 89015 |
| Enumerated | September 14, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | S3-97 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.