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General NPI Number Information
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NPI Number | 1912870668
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Entity Type | Organization
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Legal Business Name | GIBSON AND JENKINS ORTHODONTICS,PLLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | PO BOX 400
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City | MORRISTOWN
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State | TN
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Zip | 37815-0400
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Country | US
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Telephone | 423-581-4545
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Fax | 423-587-4104
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | MORRISTOWN
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State | TN
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Zip | 37815-0400
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Country | US
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Telephone | 423-581-4545
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Fax | 423-587-4104
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Authorized Official
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Title or Position | CONTROLLING PARTNER
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Name | DR. JOE E GIBSON JR.
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Credential | MS DDS
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Telephone | 423-581-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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