OrganizationActive
Jeffrey J. Tibbs, DDS, PA
NPI 1578782116 · General Practice Dentistry · Winston Salem, NC
Jeffrey J. Tibbs, DDS, PA is a General Practice Dentistry organization in Winston Salem, NC (NPI 1578782116).
Provider details
- NPI number
- 1578782116
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shannon Reavis, Office Manager(336) 765-7477
- License
- 5856 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3455 Healy Dr
Winston Salem, NC 27103-1442
Phone: (336) 765-7477
Street-level locationGet directions
Mailing address
3455 Healy Dr
Winston Salem, NC 27103-1442
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jeffrey J. Tibbs, DDS, PA's NPI number?
- Jeffrey J. Tibbs, DDS, PA's National Provider Identifier (NPI) is 1578782116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeffrey J. Tibbs, DDS, PA?
- Jeffrey J. Tibbs, DDS, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jeffrey J. Tibbs, DDS, PA located?
- Jeffrey J. Tibbs, DDS, PA's practice location on file with NPPES is 3455 Healy Dr, Winston Salem, NC 27103-1442.
- What is Jeffrey J. Tibbs, DDS, PA's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey J. Tibbs, DDS, PA is (336) 765-7477.
- Who is the authorized official for Jeffrey J. Tibbs, DDS, PA?
- The authorized official listed on Jeffrey J. Tibbs, DDS, PA's NPPES record is Shannon Reavis, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeffrey J. Tibbs, DDS, PA's NPI active?
- Yes — Jeffrey J. Tibbs, DDS, PA's NPI (1578782116) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.