Individual
DR. RUSSELL J. TIBBETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3516 SILVERSIDE RD, #17 THE COMMONS, WILMINGTON, DE 19810-4932
(302) 479-5959
(302) 479-5956
Mailing address
3516 SILVERSIDE RD, #17 THE COMMONS, WILMINGTON, DE 19810-4932
(302) 479-5959
(302) 479-5956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
894
DE
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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