Gibson, William Burlin
Gibson, William Burlin is an sole proprietor health care provider with primary practice located at 200 Medical Center Dr Suite 2-O, Hazard KY 41701-9466. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Gibson, William Burlin can be contacted via phone (606) 487-0088.Contact Information
Primary practice address
200 Medical Center Dr Suite 2-O
Hazard KY 41701-9466
Phone: (606) 487-0088
Fax: (606) 487-1849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 7055 | Kentucky |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7055 | Kentucky |
| Dental Providers / Dentist | 122300000X | 7055 | Kentucky |
Profile Details
| NPI number | 1043388234 |
|---|---|
| LBN Legal business name | Gibson, William Burlin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jun 16th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043388234 | NPPES |
| Kentucky | MEDICAID | 60070554 | |
| Kentucky | Other | 238396 | |
| Kentucky | Other | 000000236923 | |
| Kentucky | Other | 343574 | |
| Kentucky | MEDICAID | 64342546 |
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