Tiboris, Dean
Tiboris, Dean is an sole proprietor health care provider with primary practice located at 5021 Washington Rd , Kenosha WI 53144-4292. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Tiboris, Dean can be contacted via phone (262) 654-6770.Contact Information
Primary practice address
5021 Washington Rd
Kenosha WI 53144-4292
Phone: (262) 654-6770
Fax: (262) 654-6727
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 7210-15 | Wisconsin |
Profile Details
NPI number | 1003139700 |
---|---|
LBN Legal business name | Tiboris, Dean |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 9th, 2010 |
Last updated | Jun 10th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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