Dale Arvid Gibson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M-330 Issued in SD

Practice address

530 Iowa Ave SE
Huron, SD 57350-2864

Phone

(605) 352-8753

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811085285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 IOWA AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502864",
            "telephone_number": "605-352-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 IOWA AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502864",
            "telephone_number": "605-352-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DALE",
        "middle_name": "ARVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M-330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Fuchs, DDS
• Rick Wallace Fuchs, D.D.S.
• Shelly Fuller, MS
• Genoa Healthcare LLC
• George a. Nicholas, M.D.
• Glanzer Covid Care Center
• Kristi Kay Glanzer, CNP
• Roshelle Goertz, PHARMD
• Sarah Goral, PA-C
• Belinda K Grave, CCDC III

• General Practice Dentistry in Huron, SD
• Providers in Huron, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.