Rex Shannon Gibson, D.D.S

Pediatric Dentistry · Bend, OR

Individual Active NPI

NPI number 1174730287

Practice location

1245 SE 3rd St
Ste #a-1
Bend, OR 97702-2161
Phone
(541) 318-5688
Fax
(541) 322-5581

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NPI record

NPI
1174730287
Entity type
Individual (Type 1)
Enumeration date
May 17, 2007
Last updated
January 15, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X D7724 OR

Mailing address

63870 Johnson Rd
Bend, OR 97701-5218
Phone
(541) 318-5688

About Dr. Gibson

Rex Shannon Gibson, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 1245 SE 3rd St, Ste #a-1, Bend, OR 97702-2161. The NPI number 1174730287 was assigned on May 17, 2007 and the record was last updated on January 15, 2008.

Dr. Gibson lists a license in the registry: #D7724 (OR) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rex Shannon Gibson, D.D.S?

The NPI number is 1174730287.

What is the phone number of Dr. Gibson?

The phone number listed for the practice location is (541) 318-5688.

Where is Dr. Gibson located?

1245 SE 3rd St, Ste #a-1, Bend, OR 97702-2161.

What is the taxonomy code for Dr. Gibson?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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