Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083991053 Individual Practitioner Male Practitioner

Dr. Daniel Patrick Tibbetts , DMD

Dentist • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Tibbetts, DMD is a registered healthcare professional specializing in Dentist in Philadelphia, PA. Practice services are available at 111 S INDEPENDENCE MALL E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 S Independence Mall E
Suite 610

Philadelphia, PA 191062515

Telephone 2152380800
Associated Practice Facility / Clinic
🏢 Protocall, Inc Facility NPI 1942513528

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
560 Specialists

Practicing in Philadelphia, PA (3554 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS039118

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Scott Bonomo , DMD

Dentist - General Practice

NPI 1245310283

Doctor of Dental Medicine

Dr. Patrice Ierardi , DMD

Dentist - General Practice

NPI 1427138437

Doctor of Dental Medicine

NPI 1861248080
Dr. Max Ephraim , DDS

Dentist - General Practice

NPI 1912626813

Doctor of Dental Surgery

NPI 1962847608

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2015

Registered at 111 S INDEPENDENCE MALL E, SUITE 610, PHILADELPHIA, PA 191062515 (Tel: 2152380800)

📍
Updated Business Mailing Address April 13, 2015

Registered at 611 WOODCREST AVE, ARDMORE, PA 190031919 (Tel: 3025459444)

👤
Provider Name / Credentials Updated April 13, 2015

Recorded as DANIEL TIBBETTS, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2015

Dentist (License #DS039118 in PA)

🟢
Initial NPI Registration & Enumeration November 04, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083991053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2011
Last Update: April 13, 2015
Sole Proprietor: No

Mailing Address

611 Woodcrest Ave

Ardmore, PA 190031919

Phone: 3025459444

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.