Todd R. Tibbs, D.d.s., P.a. | |
1933 Jake Alexander Blvd. West, Suite 203 Salisbury NC 28147-1156 | |
(704) 633-1799 | |
Not Available |
Full Name | Todd R. Tibbs, D.d.s., P.a. |
---|---|
Speciality | Dentist - General Practice |
Location | 1933 Jake Alexander Blvd. West, Suite 203, Salisbury, North Carolina |
Authorized Official Name and Position | Todd Richard Tibbs (OWNER) |
Authorized Official Contact | 7046331799 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Todd R. Tibbs, D.d.s., P.a. 1933 Jake Alexander Blvd. West, Suite 203 Salisbury NC 28147 Ph: (704) 633-1799 | Todd R. Tibbs, D.d.s., P.a. 1933 Jake Alexander Blvd. West, Suite 203 Salisbury NC 28147-1156 Ph: (704) 633-1799 |
NPI Number | 1003827544 |
---|---|
Provider Enumeration Date | 08/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003827544 | NPI | - | NPPES |
V06475 | Other | TX | TX-BCBS |
0166W | Other | NC | BCBS |
976699 | Other | PA | UNITED CONCORDIA |
9001K | Other | NC | BCBS |
433519 | Other | VA | TRIGON-BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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