Organization
JEFFREY J. TIBBS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON REAVIS (OFFICE MANAGER)
(336) 765-7477
Entity
Organization
Contact information
Practice address
3455 HEALY DR, WINSTON SALEM, NC 27103-1442
(336) 765-7477
Mailing address
3455 HEALY DR, WINSTON SALEM, NC 27103-1442
(336) 765-7477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5856
NC
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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