Gibson, Makenna Brianne

Gibson, Makenna Brianne is an individual health care provider with primary practice located at 10914 Nagel Ct , Louisville KY 40241-4855. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Gibson, Makenna Brianne can be contacted via phone (606) 215-9255.

Contact Information

Primary practice address
10914 Nagel Ct Louisville KY 40241-4855
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 11120 Kentucky

Profile Details

NPI number 1215777438
LBN Legal business name Gibson, Makenna Brianne
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2024
Last updated May 27th, 2024 - about 4 months 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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