Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jimmy R Gibson Jr., DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629699079

Dr. Jimmy R Gibson Jr., DDS is a Student in an Organized Health Care Education/Training Program in Brooklyn, New York. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Brooklyn, NY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2901601226 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629699079
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 27, 2020
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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