Dr. Anthony L Tiberio , DDS
Dentist - General Practice • Southfield, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anthony Tiberio has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Anthony Tiberio, DDS was a registered Dentist - General Practice practicing in Southfield, MI. Throughout an active medical career spanning 1 years, Dr. Tiberio provided care at the practice location at 21500 NORTHWESTERN HWY until profile deactivation on 2006-03-20.
Practice Location & Contact Primary Location
21500 Northwestern Hwy
Ste 640
Southfield, MI 480755010
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Southfield, MI
Practicing in Southfield, MI (4360 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Surgery, Master of Science
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 21, 2020
Registered at 21500 NORTHWESTERN HWY, STE 640, SOUTHFIELD, MI 480755010 (Tel: 2485520166)
Registered at 21500 NORTHWESTERN HWY, STE 640, SOUTHFIELD, MI 480755010 (Tel: 2485520166)
Recorded as ANTHONY TIBERIO, DDS
Dentist (License #14204 in MI)
Record officially reactivated for active practice on April 18, 2006
Record deactivated on March 20, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
21500 Northwestern Hwy, Ste 640
Southfield, MI 480755010
Phone: 2485520166
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