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Contact Information

TIMOTHY C GIBSON JR, DDS, MS
617 MYERS RD STE B
SUMMERVILLE, SC29486-8902
 Phone: 843-647-6052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TIMOTHY C GIBSON JR · (Male)

NPI Number 1588222939
Status Active
Credentials DDS, MS
Entity Individual
Enumeration date 05/31/2019
Last updated 02/21/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 11392
  • SC License # 10619
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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