Individual
JEFFREY J. TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.A.
Contact information
Practice address
3455 HEALY DR, WINSTON-SALEM, NC 27103-1442
(336) 765-7477
(336) 765-7804
Mailing address
3455 HEALY DR, WINSTON-SALEM, NC 27103-1442
(336) 765-7477
(336) 765-7804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5856
NC
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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