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Contact Information

RUSSELL J TIBBETTS, DDS
3516 SILVERSIDE RD
#17 THE COMMONS
WILMINGTON, DE19810-4932
 Phone: 302-479-5959
 Fax: 302-479-5956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RUSSELL J TIBBETTS · (Male)

NPI Number 1366715419
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/21/2012
Last updated 02/21/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • DE License # 894
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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