Dean Tiboris, DMD
Dean Tiboris, DMD is a provider specialising in Oral & Maxillofacial Surgery (D.M.D.) in Kenosha, WI, registered under NPI 1003139700. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
Here is what surrounds this office in Kenosha, based on OpenStreetMap data collected Sep 7, 2026. Parking is available about 0.24 mi away. A pharmacy sits 0.40 mi from the entrance (CVS Pharmacy), which helps if you leave with a prescription.
Getting here and what is nearby
Parking 567 ft ~3 min
Parking 1,018 ft ~4 min
Parking 0.24 mi ~5 min
Restaurant McDonald's 0.35 mi ~7 min
Pharmacy CVS Pharmacy 0.40 mi ~9 min
Grocery Aldi 0.41 mi ~9 min
3524 57th Avenue, Kenosha 53144
Mo-Su 09:00-20:00
Restaurant Chipotle 0.50 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 7210-15 | WI | Oral & Maxillofacial Surgery (D.M.D.) primary |
This provider holds licence 7210-15 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Oral & Maxillofacial Surgery covers
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. NUCC Health Care Provider Taxonomy, code 204E00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 7210-15 | WI | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003139700 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 9, 2010 |
| Last updated | Jun 10, 2014 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | DMD |
| Practice address |
5021 WASHINGTON RD Kenosha, WI 53144 (262) 654-6770 Fax (262) 654-6727 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 1 | 3 | 9 | 7 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 2 | 3 | 9 | 7 | 0 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.