Provider Demographics
NPI:1912870668
Name:GIBSON AND JENKINS ORTHODONTICS,PLLC
Entity type:Organization
Organization Name:GIBSON AND JENKINS ORTHODONTICS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS DDS
Authorized Official - Phone:423-581-4545
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37815-0400
Mailing Address - Country:US
Mailing Address - Phone:423-581-4545
Mailing Address - Fax:423-587-4104
Practice Address - Street 1:PO BOX 400
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37815-0400
Practice Address - Country:US
Practice Address - Phone:423-581-4545
Practice Address - Fax:423-587-4104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty