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Kevin Tan Bibera, DDS
Student in an Organized Health Care Education/Training Program in Memphis, Tennessee
NPI 1770196024

Kevin Tan Bibera is a Student in an Organized Health Care Education/Training Program based in Concord, TN. Kevin Tan Bibera practices in Memphis, TN and has the professional credentials of DDS. The NPI Number for Kevin Tan Bibera is 1770196024 and holds a License No. 105025 (Tennessee).

The current practice location address for Kevin Tan Bibera is 875 Union Avenue Suite C211, Memphis, TN and can be reached out via phone at 901-448-7180.

Location: 875 Union Avenue Suite C211, Memphis, TN, 94519-2359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770196024
Provider Name
Kevin Tan Bibera
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
875 Union Avenue Suite C211, Memphis, TN, 94519-2359
Phone Number
901-448-7180
Fax Number
Provider Enumeration Date
08/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
875 Union Avenue Suite C211
City
Memphis
State
Tennessee
Zip
38163-8781
Phone Number
901-448-7180
Fax Number
person
Provider Business Mailing Address Details
Address
875 Union Avenue Suite C211
City
Memphis
State
Tennessee
Zip
38163-8781
Phone Number
901-448-7180
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
105025 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
105025 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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