DR. TRAVIS LAWRENCE GIBSON D.M.D
NPI 1831643691
Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since August 10, 2016

550 1ST AVE, NYU LANGONE MEDICAL CENTER, NEW YORK, NY 10016(212) 263-5506 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Travis Lawrence Gibson D.m.d NPPES

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

DR. TRAVIS LAWRENCE GIBSON D.M.D (NPI 1831643691) is an individual student in an organized health care education/training program in New York, New York, licensed in New York (058591-1) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1831643691

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. TRAVIS LAWRENCE GIBSONCredential: D.M.D

Location Address550 1ST AVE, NYU LANGONE MEDICAL CENTERNew York, NY 10016-6402

Mailing Address531 E 20th St, Unit 11aNew York, NY 10010-7602 · (917) 519-3413

Phone(212) 263-5506

Sole ProprietorYes

Enumeration DateAugust 10, 2016

✔ NPI 1831643691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NY · 058591-1

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 1ST AVE, New York, NY 10016

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