Dr. William Burlin Gibson
Dentist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
200 Medical Center Dr Suite 2-O
Hazard
, Kentucky 41701-9466
Dr. William Burlin Gibson
Dentist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
200 Medical Center Dr Suite 2-O
Hazard
, Kentucky 41701-9466
(606) 487-1849
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About
Features
Specialties
- Dentist
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. William Burlin Gibson
- 10447 Dryhill Road
- Confluence, KY
- Zip : 41749
- Fax : (606) 487-1849
- Phone : (606) 672-2075
Second Address
- Dr. William Burlin Gibson
- 200 Medical Center Dr Suite 2-O
- Hazard, KY
- Zip : 41701-9466
- Fax : (606) 487-1849
- Phone : (606) 487-0088
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 7055 | KY |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 7055 | KY |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 7055 | KY |
National Provider Identifier
| NPI | 1043388234 |
|---|---|
| Provider Name | Dr. William Burlin Gibson |
| First Address | Confluence, KY 41749 |
| Second Address | Hazard, KY 41701-9466 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 16/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000236923 | BLUE CROSS BLUE SHILED KY (01) | KY |
| 238396 | BLUE CROSS BLUE SHIELD VA (01) | VA |
| 343574 | UNITED CONCORDIA INS (01) | |
| 60070554 | (05) | KY |
| 64342546 | (05) | KY |
| U78581 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.