Gibbs, Thomas W

Gibbs, Thomas W is an individual health care provider with primary practice located at 857 Auto Mall Rd , Bloomington IN 47440-5447. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gibbs, Thomas W can be contacted via phone (812) 332-2204.

Contact Information

Primary practice address
857 Auto Mall Rd Bloomington IN 47440-5447
Phone: (812) 332-2204
Fax: (812) 332-9095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12006707A Indiana

Profile Details

NPI number 1497798136
LBN Legal business name Gibbs, Thomas W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497798136 NPPES
Other 000000325306 ANTHEM BCBS

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