DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN TAN BIBERA, DDS

Active

KEVIN TAN BIBERA, DDS is a Student (Health Education/Training) healthcare provider located in MEMPHIS, Tennessee. NPI 1770196024 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · MEMPHIS, TN

Registration Details

NPI Number
1770196024
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2020 (5.9407851608304 yrs)
Last Updated
Apr 27, 2022
Licenses
105025 (CA)
105025 (CA)

Practice Information

Address
875 UNION AVENUE SUITE C211
MEMPHIS, TN, 381638781
Browse TN providers · Browse ZIP 38163
Phone
9014487180
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in MEMPHIS, TN

Name Credential NPI
JACKIE GRAYSON MD 1699803239
RODNEY PAULLUS MD 1750406179
MONIQUE AARON FOSTER M.D. 1306064035
DR. HIMESH GUPTA MD 1972721835
DR. REHAN SHAFIQUE M.D. 1851510143
ISABEL GARRALON GOMEZ M.D. 1114130812
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.