William Sidney Gibson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3921 Issued in NC

Practice address

904 Spivey Rd
Whiteville, NC 28472-2915

Phone

(910) 642-7740

Fax

(910) 640-2373

NPI assigned

Dec 22, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114903911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SPIVEY RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722915",
            "telephone_number": "910-648-7741",
            "fax_number": "910-640-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SPIVEY RD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722915",
            "telephone_number": "910-642-7740",
            "fax_number": "910-640-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "WILLIAM",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993181",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keshia Sheree Gainey, LCAS-A
• Gas Staff, Inc
• Dustin Cody Gay, PHARM.D.
• Melvin D Gerald
• Jacob Gibson, PHARM.D.
• Amy Stanton Gillespie
• Ronald Peter Glinski, MD,
• Jerry Goforth, LPC
• Mary Mac Goldston, LPC, NCC
• Evangeline G Gonzalez, MD

• General Practice Dentistry in Whiteville, NC
• Providers in Whiteville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.