Dr Roberta Noel Tibbles, in Los Angeles, CA - Dentist

Dr Roberta Noel Tibbles, is a Dentist based in Los Angeles, California. Dr Roberta Noel Tibbles is licensed to practice in California (license number 25362) and her current practice location is 1308 L Ron Hubbard Way, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (323) 953-3340.

NPI number for Dr Roberta Noel Tibbles is 1043917107 and her current mailing address is 1308 L Ron Hubbard Way, Los Angeles, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043917107.

Contact Information

	Dr Roberta Noel Tibbles,
	1308 L Ron Hubbard Way, Los Angeles, CA 90027-5902
	(323) 953-3340
	(323) 953-3288

Healthcare Provider's Profile

Full Name	Dr Roberta Noel Tibbles
Gender	Female
Speciality	Dentist
Location	1308 L Ron Hubbard Way, Los Angeles, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1043917107
Provider Enumeration Date: 02/09/2023
Last Update Date: 02/09/2023

Medical Identifiers

Medical identifiers for Dr Roberta Noel Tibbles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043917107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	25362 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roberta Noel Tibbles is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Roberta Noel Tibbles, 1308 L Ron Hubbard Way, Los Angeles, CA 90027-5902 Ph: (323) 953-3340	Dr Roberta Noel Tibbles, 1308 L Ron Hubbard Way, Los Angeles, CA 90027-5902 Ph: (323) 953-3340

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Dr Roberta Noel Tibbles, - Dentist in Los Angeles, CA