DR. J Michael Tiberii

NPI #1063512853 in Groton, Connecticut

Provider Information

NPI Number: 1063512853
Entity Type: Individual
Name: DR. J Michael Tiberii
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 643 ROUTE 184
City: Groton
State: Connecticut
ZIP Code: 06340
Phone: (860) 445-8569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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