NPI 1013448885
Luke Ryan Tibbitts, DDS
Practice location
- Address
- 901 W 38th St STE 410, Austin, TX 78705-1162
- Phone
- (512) 992-1378
Registered specialties (2)
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Oral and Maxillofacial Surgery (Dentist)
Registry record
- NPI
- 1013448885
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Mar 2017
- Record last updated
- 7 Jul 2023
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.