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General NPI Number Information
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NPI Number | 1649340480
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Entity Type | Organization
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Legal Business Name | JEFFREY M GIBBS DDS & G PAUL KING DDS MS INC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 4775 KNIGHTSBRIDGE BLVD SUITE 101
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City | COLUMBUS
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State | OH
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Zip | 43214
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Country | US
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Telephone | 614-451-5115
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Fax |
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Provider Business Mailing Address
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Address Line | 4775 KNIGHTSBRIDGE BLVD SUITE 101
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City | COLUMBUS
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State | OH
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Zip | 43214
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Country | US
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Telephone | 614-451-5115
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY M GIBBS
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Credential | DDS
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Telephone | 614-451-5115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 18519
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 18223
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License Number State | OH
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