Provider Demographics
NPI:1003922907
Name:GIBBONS, FRANK E (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:E
Last Name:GIBBONS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 SANDPIPER DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST WARRICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893
Mailing Address - Country:US
Mailing Address - Phone:401-447-6073
Mailing Address - Fax:
Practice Address - Street 1:28 SANDPIPER DRIVE
Practice Address - Street 2:
Practice Address - City:WEST WARRICK
Practice Address - State:RI
Practice Address - Zip Code:02893
Practice Address - Country:US
Practice Address - Phone:401-447-6073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0133811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice