Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114090131 Individual Practitioner Male Practitioner

Dr. Michael Gibson , DDS

Dentist - General Practice • Dorchester, WI

Professional Overview & Biography Verified Profile Summary

Dr. Michael Gibson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Dorchester, WI. Practice services are available at 424 E CENTER AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

424 E Center Avenue

Dorchester, WI 544250236

Telephone 7156545911
Fax 7156545937

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dorchester, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Dorchester, WI (2459 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 2855

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33434800 (WI)
Commercial Insurance / Payer ID Family Health Center
3432 (WI)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 424 E CENTER AVENUE, DORCHESTER, WI 544250236 (Tel: 7156545911)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 236, DORCHESTER, WI 544250236 (Tel: 7156545911)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL GIBSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2855 in WI)

🟢
Initial NPI Registration & Enumeration November 16, 2006

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: 1114090131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 236

Dorchester, WI 544250236

Phone: 7156545911

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.