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Search › Wisconsin › Oral & Maxillofacial Surgery (D.M.D.)

Dean Tiboris, DMD

NPI 1003139700 · on the registry since 2010 · sole proprietor

Practice

Address
5021 Washington Rd
Kenosha, WI 53144
Phone
(262) 654-6770
Fax
(262) 654-6727
Organisation at this address
Ids
Wisnova Llc
Southport Periodontics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Oral & Maxillofacial Surgery (D.M.D.)
204E00000X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin