Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811029010 Individual Practitioner Male Practitioner

Dr. Marcus A Gibson , DMD

Dentist • Louisville, KY

Professional Overview & Biography Verified Profile Summary

Dr. Marcus Gibson, DMD is a registered healthcare professional specializing in Dentist in Louisville, KY. Practice services are available at 2215 PORTLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2215 Portland Ave

Louisville, KY 402121033

Telephone 5027748631
Fax 5027728189
Associated Practice Facility / Clinic
🏢 Family Health Centers, Inc. Facility NPI 1518963230

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Louisville, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
270 Specialists

Practicing in Louisville, KY (1101 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-14
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License KY 7305

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100174040 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003000902

Doctor of Medicine (M.D.)

NPI 1003810920

Doctor of Medicine (M.D.)

Izegbea Cannon

Nurse Practitioner - Family

NPI 1013389022
Dr. Karen Duckwall , MD

Obstetrics & Gynecology

NPI 1013913037

Doctor of Medicine (M.D.)

Carla Broderick , APRN

Nurse Practitioner - Adult Health

NPI 1033115878

Advanced Practice Registered Nurse

Natalie Zelichenok , ARNP

Nurse Practitioner

NPI 1043216757

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address April 14, 2021

Registered at PO BOX 950244, LOUISVILLE, KY 402950244 (Tel: 5029534700)

NPI Profile Active June 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2016

Registered at 2215 PORTLAND AVE, LOUISVILLE, KY 402121033 (Tel: 5027748631)

📍
Updated Business Mailing Address June 23, 2016

Registered at 2215 PORTLAND AVE, LOUISVILLE, KY 402121033 (Tel: 5027748631)

👤
Provider Name / Credentials Updated June 23, 2016

Recorded as MARCUS GIBSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2016

Dentist (License #7305 in KY)

🟢
Initial NPI Registration & Enumeration March 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811029010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: April 14, 2021
Sole Proprietor: No

Mailing Address

Po Box 950244

Louisville, KY 402950244

Phone: 5029534700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.