SearchTennessee225100000X

Travis Gibson

NPI 1871202572 · on the registry since 2022

Practice

Address
1515 Gunbarrel Rd Ste 129
Chattanooga, TN 37421
Phone
(423) 899-9115
Organisation at this address
Emerald Dental Pllc
Mcm Rehabilitation Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 166 Milligan Ln # 166, Johnson City, TN
  • 2225 E Centennial Pkwy Ste 106, North Las Vegas, NV
  • 16811 N Litchfield Rd Ste 101, Surprise, AZ

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee