Healthcare Provider Details

I. General information

NPI: 1124710330
Provider Name (Legal Business Name): HELEN GIBSON DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14435 US-231
HAZEL GREEN AL
35750
US

IV. Provider business mailing address

741 PLUMMER RD APT 424
HUNTSVILLE AL
35806-3834
US

V. Phone/Fax

Practice location:
  • Phone: 256-829-8878
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD.007685-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: