Dr. John Raschen Tibbetts
Orthodontists
5353 Main St
Williamsville
, New York 14221-5337
Dr. John Raschen Tibbetts
Orthodontists
5353 Main St
Williamsville
, New York 14221-5337
(716) 634-3511
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. John Raschen Tibbetts
- 5353 Main St
- Williamsville, NY
- Zip : 14221-5337
- Phone : (716) 634-3511
Second Address
- Dr. John Raschen Tibbetts
- 5353 Main St
- Williamsville, NY
- Zip : 14221-5337
- Phone : (716) 634-3511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 044104 | NY |
National Provider Identifier
| NPI | 1033112800 |
|---|---|
| Provider Name | Dr. John Raschen Tibbetts |
| First Address | Williamsville, NY 14221-5337 |
| Second Address | Williamsville, NY 14221-5337 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01543782 | (05) | NY |
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.