Most Relevant Information
Provider Data
| NPI Number: | 1003255738 |
| Provider Name: | JESSICA LYNN GIBBS D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 019029412 |
Most Important Dates
| Enumeration Date: | 06/15/2013 |
| Last Updated: | 06/15/2013 |
Provider Practice Location
10 S LARKIN AVE
JOLIET
IL
604361243
Practice Location Phone/Fax
| Phone: | 8157736200 |
| Fax: |
Provider Mailing Location
350 N CLARK ST
6TH FLOOR
CHICAGO
IL
606544712
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |