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NPI Code Detail

MEDICARE: DR. CATHERINE GIBBONS D.D.S.

MEDICARE:  DR. CATHERINE  GIBBONS  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist7330AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568658581
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE GIBBONS D.D.S.
Provider Business Mailing Address
First Line : 3273 E POWELL PL
Second Line :
City : CHANDLER
State : AZ
Zip : 85249-3457
Country : US
Telephone Number : 480-381-8154
Fax Number :
Provider Business Practice Location Address
First Line : 21321 E OCOTILLO RD
Second Line : SUITE 133
City : QUEEN CREEK
State : AZ
Zip : 85142-5996
Country : US
Telephone Number : 480-882-9991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2007
Last Update Date : 03/09/2011

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Directions to “ DR. CATHERINE GIBBONS D.D.S.” Practice Location

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