Michael Gibilisco

Primary specialty

DentistTaxonomy code 122300000X

License

016.0112253 Issued in VT

Practice address

11 Market PL
Essex Junction, VT 05452-2940

Phone

(802) 878-5591

NPI assigned

Mar 27, 2014

Last updated

Jun 24, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gibilisco Dental PLLC

  • Dental Clinic/Center
  • Colchester, VT
  • NPI 1528724564
  NPD
• Essex Family Dental

  • General Practice Dentistry
  • Essex Junction, VT
  • NPI 1972514834
  NPD (past)

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1760809776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MARKET PL",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522940",
            "telephone_number": "802-878-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MARKET PL",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522940",
            "telephone_number": "802-878-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBILISCO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0112253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Garcia, PT
• Garnet Clinical Services LLC
• Garnet Transport Medicine, LLC (Garnet Health)
• Nicole Giard-Jeter, LCMHC
• Gregory Michael Giasson, D.C.
• Francine H Giroux, MA, LMFT
• Mary-Ellen Giroux, M.A.
• Ira Kenneth Glasser, LCSW; LICSW
• June E Golato, M.S.
• Golden Love Home Care

• Dentist in Essex Junction, VT
• Providers in Essex Junction, VT by specialty
• Dentist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.