Provider Demographics
NPI:1851566988
Name:GIBBINS, REED P (DDS, MD)
Entity Type:Individual
Prefix:
First Name:REED
Middle Name:P
Last Name:GIBBINS
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Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:215 S FM 548
Mailing Address - Street 2:SUITE C
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4129
Mailing Address - Country:US
Mailing Address - Phone:469-689-0704
Mailing Address - Fax:469-689-0709
Practice Address - Street 1:215 S FM 548
Practice Address - Street 2:SUITE C
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-4129
Practice Address - Country:US
Practice Address - Phone:469-689-0704
Practice Address - Fax:469-689-0709
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2015-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX232971223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery