Individual provider · Type 1 NPI

John Raschen Tibbetts, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Williamsville, NY

NPI number 1033112800 Active

Practice location

5353 Main St
Williamsville, NY 14221-5337

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X044104 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1033112800

John Raschen Tibbetts, DDS, M.S.'s National Provider Identifier is 1033112800, issued on May 24, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Williamsville, NY. The record was last updated on Jul 13, 2026.