Whalio Doctors

NPI 1013448885

Luke Ryan Tibbitts, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Austin, TX

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
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 38316 (TX)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 9954 (KY)

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.