Candice L. Gibbons, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.024459 Issued in IL

Legal business name

CANDICE L. GIBBONS, D.D.S., P.C.

Practice address

2449 E Joliet Hwy
New Lenox, IL 60451-2592

Phone

(815) 485-2536

Fax

(815) 485-2645

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Candice Leigh Gibbons, D.D.S.NPI 1649344102

Title

President

Phone

(815) 485-2536

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candice Leigh Gibbons, D.D.S.

  • General Practice Dentistry
  • New Lenox, IL
  • NPI 1649344102
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1184712952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 E JOLIET HWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512592",
            "telephone_number": "815-485-2536",
            "fax_number": "815-485-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 E JOLIET HWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512592",
            "telephone_number": "815-485-2536",
            "fax_number": "815-485-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDICE L. GIBBONS, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-485-2536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.024459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C&R Medical Group SC
• Julyssa Lizette Cabrales
• Caesar E. Ciaglia, D.D.S., P.C. (New Lenox Dental Group)
• David Michael Calimag, D.O.
• Emmanuel B Calungcaguin, DPT
• Cardinal Surgical Associates S C
• Courtney Carduff, LSW
• Molly J Carey, D.C.
• Carie Ludvik Physical Therapy LLC
• Keith Paul Cario

• General Practice Dentistry in New Lenox, IL
• Providers in New Lenox, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.