NPI
Wanda D Gibson
NPI 1659453918
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2006-10-19
- Last updated
- 2023-03-07
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Specialties
Licenses
- License SC
- SC7106
Location
- Practice location
- 8063 Edmund Hwy, Eau Claire Cooperative Health Centers
- City
- Pelion SC
- Postal code
- 29123-9805
- Phone
- (803) 894-3736
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Pelion, SC. 23 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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