Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEAN TIBORIS, DMD
Active Sole ProprietorDR. DEAN TIBORIS, DMD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in KENOSHA, Wisconsin. NPI 1003139700 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · KENOSHA, WI
Registration Details
- NPI Number
- 1003139700
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2010 (16.459755249077 yrs)
- Last Updated
- Jun 10, 2014
- License
-
7210-15 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5021 WASHINGTON RDKENOSHA, WI, 531444292Browse WI providers · Browse ZIP 53144
- Phone
- 2626546770
- Fax
- 2626546727
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.