Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr DEAN TIBORIS in KENOSHA, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1003139700 |
|
| Status | Active | |
| Credentials | DMD (Doctor of Medical Dentistry) | |
| Entity | Individual | |
| Enumeration date | 03/09/2010 | |
| Last updated | 06/10/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEAN TIBORIS
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DEAN TIBORIS, DMD