Individual provider · Type 1 NPI

J Michael Tiberii

General Practice Dentistry · Groton, CT

NPI number 1063512853 Active

Practice location

643 Route 184
Groton, CT 06340

Call (860) 445-8569 Map

Mailing address

19 Whitehall Ln
Mystic, CT 06355-1640

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4459 (CT)

General Practice Dentistry: 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.

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About NPI 1063512853

J Michael Tiberii's National Provider Identifier is 1063512853, issued on Sep 22, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Groton, CT. The record was last updated on Jul 8, 2007.