npidexNPI registry + Medicare data

DEAN TIBORIS, DMD

Oral & Maxillofacial Surgery (D.M.D.) · KENOSHA, WI

Individual Active Opted out of Medicare NPI 1003139700

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X✓7210-15WI
Student in an Organized Health Care Education/Training Program390200000X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2017-06-19 through 2027-06-19.

Other Oral & Maxillofacial Surgery (D.M.D.) providers in Wisconsin

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.