John Raschen Tibbetts D.D.S., M.S.

NPI 1033112800 - Dentist - 1223X0400X

NPI Details
NPI 1033112800
Gender Male
Enumeration Date 05/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
5353 MAIN ST
WILLIAMSVILLE NY, 14221-5337, US
Phone (716) 634-3511
Fax
Business Location
5353 MAIN ST
WILLIAMSVILLE NY, 14221-5337, US
Phone (716) 634-3511
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State New York
License Number 044104
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According to our database, Dr. John Raschen Tibbetts D.D.S., M.S. NPI is 1033112800, taxonomy code is 1223X0400X and license number is 044104, license state is located at New York. John Raschen Tibbetts D.D.S., M.S. physically located at 5353 Main St, Williamsville NY, 14221-5337. NPI Number John Raschen Tibbetts D.D.S., M.S. has the Individual type.

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1033112800 NPI number is provided on an as is basis without warranty of any kind. 1033112800 is maintained by the National Plan & Provider Enumeration System. The contents of John Raschen Tibbetts D.D.S., M.S. are for informational purposes only.