Organization
RUSSELL J TIBBETTS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL J TIBBETTS DDS (PRESIDENT)
(302) 479-5959
Entity
Organization
Contact information
Practice address
3516 SILVERSIDE ROAD, #17 THE COMMONS, WILMINGTON, DE 19810-4932
(302) 479-5959
(302) 479-5956
Mailing address
3516 SILVERSIDE ROAD, #17 THE COMMONS, WILMINGTON, DE 19810-4932
(302) 479-5959
(302) 479-5956
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
894
DE
Other
Enumeration date
08/04/2006
Last updated
02/20/2012
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