Doctor Name: | MICHAEL J GIBBONS |
NPI Number: | 1538167234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D. |
License Number: | D2139 |
Business Practice Address: | 7477 E Doubletree Ranch Rd Suite 200 Scottsdale, AZ - 852582048 |
Business Phone Number: | 4803680060 |
Business Fax Number: | 4804431869 |
Mailing Address: | 11111 N Scottsdale Rd, Ste 220 SCOTTSDALE |
State: | AZ |
Postal Code: | 852546732 |
Phone Number: | 4803680060 |
Fax Number: | 4804431869 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | D2139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |