NPI 1003139700

Dean Tiboris, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Kenosha, WI

Practice location

Address: 5021 Washington Rd, Kenosha, WI 53144-4292
Phone: (262) 654-6770
Fax: (262) 654-6727

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 7210-15 (WI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003139700
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2010
Record last updated: 10 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.