MEDICARE: LAURENCE O GIBBONS JR DDS PC

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
1	122300000X	Dentist	DEN3068	DC

General Provider Information

NPI Number	:	1598989568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAURENCE O GIBBONS JR DDS PC

Provider Business Mailing Address
First Line	:	4303 16TH STREET NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7011
Country	:	US
Telephone Number	:	202-723-2266
Fax Number	:	202-726-3552

Provider Business Practice Location Address
First Line	:	4303 16TH STREET NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7011
Country	:	US
Telephone Number	:	202-723-2266
Fax Number	:	202-726-3552

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAURENCE O GIBBONS JR.
Credential	:	DDS MA
Telephone Number	:	202-723-2266

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1861616831 — DR. LAURENCE O GIBBONS JR. DDS
Practice Location Address:

4303 16TH STREET NW
WASHINGTON, DC
20011-7011

Practice Phone: 202-723-2266
Practice Fax:

1194203679 — JOSHUA KENNER
Practice Location Address:

1251 U ST SE
WASHINGTON, DC
20020-7011

Practice Phone: 202-460-1149
Practice Fax:

1962170431 — DR. JACQUELYNE IVERY RPH, PHARMD
Practice Location Address:

752 GLENEAGLES DR
FT WASHINGTON, MD
20744-7011

Practice Phone: 301-233-6941
Practice Fax:

1235893892 — ANGELA ROSEMARIE FERGUSON
Practice Location Address:

930 FARRAGUT ST NW APT 312
WASHINGTON, DC
20011-3997

Practice Phone: 202-710-7861
Practice Fax:

1467383976 — MESKEREM ASFAW DUBE
Practice Location Address:

1301 UPSHUR ST NW APT 510
WASHINGTON, DC
20011-5661

Practice Phone: 202-300-9153
Practice Fax:

1194080077 — GENET GETIE GELAW
Practice Location Address:

820 UPSHUR ST NW
WASHINGTON, DC
20011-5837

Practice Phone: 202-723-0304
Practice Fax: 202-723-0367

Directions to “LAURENCE O GIBBONS JR DDS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.