Provider Demographics
NPI:1144119231
Name:GIBBON, KARA GRACE (DDS)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:GRACE
Last Name:GIBBON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9757 PINE LAKE DR APT 1057
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6151
Mailing Address - Country:US
Mailing Address - Phone:318-210-1312
Mailing Address - Fax:
Practice Address - Street 1:9740 BARKER CYPRESS RD STE 113
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1975
Practice Address - Country:US
Practice Address - Phone:346-776-6646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX414991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty