Gipson, James David

Gipson, James David is an individual health care provider with primary practice located at 1103 E Montclair St Suite 100, Springfield MO 65807-5076. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gipson, James David can be contacted via phone (417) 887-8800.

Contact Information

Primary practice address
1103 E Montclair St Suite 100 Springfield MO 65807-5076
Phone: (417) 887-8800
Fax: (417) 887-6265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 015813D Missouri

Profile Details

NPI number 1417942426
LBN Legal business name Gipson, James David
Credentials DDS MD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
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 1417942426 NPPES
Other 11827 BC/S DENTAL
Other 107914 BC/S DENTAL
Other 107914 BC/S DENTAL
Other 967720 BC/S DENTAL

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