Individual
SCOTT J BIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
222 N MISSION, MISSION STREET DENTAL, WENATCHEE, WA 98801
(509) 662-3651
Mailing address
222 N MISSION, MISSION STREET DENTAL, WENATCHEE, WA 98801
(509) 662-3651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5047279
—
WA
Enumeration date
11/02/2005
Last updated
05/21/2013
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