Dr. Dean Tiboris
Oral & Maxillofacial Surgeon
5021 Washington Rd
Kenosha
, Wisconsin 53144-4292
Dr. Dean Tiboris
Oral & Maxillofacial Surgeon
5021 Washington Rd
Kenosha
, Wisconsin 53144-4292
(262) 654-6727
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Dean Tiboris
- 5021 Washington Rd
- Kenosha, WI
- Zip : 53144-4292
- Fax : (262) 654-6727
- Phone : (262) 654-6770
Second Address
- Dr. Dean Tiboris
- 5021 Washington Rd
- Kenosha, WI
- Zip : 53144-4292
- Fax : (262) 654-6727
- Phone : (262) 654-6770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 7210-15 | WI |
National Provider Identifier
| NPI | 1003139700 |
|---|---|
| Provider Name | Dr. Dean Tiboris |
| First Address | Kenosha, WI 53144-4292 |
| Second Address | Kenosha, WI 53144-4292 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2010 |
| Last Update Date | 10/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.