MAKENNA BRIANNE GIBSON DMD
NPI 1215777438
Dentist - Periodontics in Louisville, KY

Active since May 27, 2024
10914 NAGEL CT, LOUISVILLE, KY 40241(606) 215-9255 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Makenna Brianne Gibson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKENNA BRIANNE GIBSON DMD (NPI 1215777438) is an individual periodontics provider in Louisville, Kentucky, licensed in Kentucky (11120) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1215777438
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameMAKENNA BRIANNE GIBSONCredential: DMD
Location Address10914 NAGEL CTLouisville, KY 40241-4855
Mailing Address10914 Nagel CtLouisville, KY 40241-4855 · (606) 215-9255
Sole ProprietorNo
Enumeration DateMay 27, 2024
NPPES CertifiedMay 27, 2024
NPI 1215777438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in KY · 11120
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
10914 NAGEL CT, Louisville, KY 40241

Other Names 1

Former Name (1)Makenna Brianne Thibodeaux

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Makenna Gibson's NPI number?

The NPI number for Makenna Gibson is 1215777438. It was assigned to this individual provider in the NPPES registry on May 27, 2024. The provider is also known as Makenna Brianne Thibodeaux.

Where is Makenna Gibson located?

Makenna Gibson practices at 10914 Nagel Ct, Louisville, KY 40241. The listed phone number is (606) 215-9255.

What is Makenna Gibson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Makenna Gibson was last updated on May 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.