Provider Demographics
NPI:1326489287
Name:GIBBS, SARAH BETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:BETH
Last Name:GIBBS
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 1:85 CYPRESS POINT PKWY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-8455
Mailing Address - Country:US
Mailing Address - Phone:386-283-5915
Mailing Address - Fax:386-283-5920
Practice Address - Street 1:85 CYPRESS POINT PKWY
Practice Address - Street 2:SUITE 5
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8455
Practice Address - Country:US
Practice Address - Phone:386-283-5915
Practice Address - Fax:386-283-5920
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN202631223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics