National Provider Identifier
John Raschen Tibbetts, D.D.S., M.S.
John Raschen Tibbetts, D.D.S., M.S. is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Williamsville, NY and a listed phone number of (716) 634-3511.
Profile Overview
- NPI
- 1033112800
- Provider Type
- Individual
- Primary Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Enumeration Date
- May 24, 2005
- Last Updated
- July 08, 2007
Practice Location
- 5353 Main St
- Williamsville, NY 14221-5337
Phone: (716) 634-3511
Specialties
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
- NPI
- 1033112800
- Entity Type
- Individual
- Last Name
- Tibbetts
- First Name
- John
- Middle Name
- Raschen
- Name Prefix
- Dr.
- Credential
- D.D.S., M.S.
- Mailing Street Address
- 5353 Main St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5337
- Mailing Country
- US
- Mailing Phone
- (716) 634-3511
- Practice Street Address
- 5353 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5337
- Practice Country
- US
- Practice Phone
- (716) 634-3511
- Enumeration Date
- May 24, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
- Other Identifiers
- 01543782 (NY)