Dr. Rex Shannon Gibson is a Bend, Oregon based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Rex Shannon Gibson is
D7724 for Pediatric Dentistry in Oregon. His current practice location is
1245 Se 3rd St, Ste #a-1, Bend. Patients can reach him at
541-318-5688.
Dr. Rex Shannon Gibson provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Rex Shannon Gibson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Rex Shannon Gibson |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.D.S |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1245 Se 3rd St, Ste #a-1, Bend,
Oregon, 97702-2161 |
| Phone: | 541-318-5688 |
| Fax: | 541-322-5581 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1174730287 |
| NPI Enumeration Date: | 17 May, 2007 |
| NPI Last Update On: | 15 Jan, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Rex Shannon Gibson are as mentioned below.
| License Number | Specialization | State | Status | |
| D7724 | Pediatric Dentistry | Oregon | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Rex Shannon Gibson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 299183 | Medicaid | Oregon | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 63870 Johnson Rd,
Bend, Oregon |
| Zip: | 97701-5218 |
| Phone Number: | 541-318-5688 |
Patients can reach Dr. Rex Shannon Gibson at
1245 Se 3rd St, Ste #a-1, Bend, Oregon or can
call to book an appointment on 541-318-5688.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.