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Organization
TODD R. TIBBS, D.D.S., P.A.
Active
Organization
TODD R. TIBBS, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD RICHARD TIBBS DDS (OWNER)
(704) 633-1799
Entity
Organization
Contact information
Practice address
1933 JAKE ALEXANDER BLVD. WEST, SUITE 203, SALISBURY, NC 28147-1156
(704) 633-1799
Mailing address
1933 JAKE ALEXANDER BLVD. WEST, SUITE 203, SALISBURY, NC 28147
(704) 633-1799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166W
BCBS
NC
01
—
433519
TRIGON-BCBS
VA
01
—
9001K
BCBS
NC
01
—
976699
UNITED CONCORDIA
PA
01
—
V06475
TX-BCBS
TX
Enumeration date
08/10/2006
Last updated
08/22/2020
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