Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Tan Bibera, DDS

Individual provider General Practice Dentistry · NPI 1770196024

Kevin Tan Bibera, DDS is a General Practice Dentistry in Memphis, Tennessee. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

875 Union Ave Ste C211
Memphis, TN 38163-8781
Phone: (901) 448-7180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20406 Brian Way # 2, Tehachapi, CA 93561-8781 — (661) 822-6706

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 105025 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 105025 (CA)

Record details

NPI number1770196024
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 26, 2020
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022
Mailing address1854 Claire Ct, Concord, CA 94519-2359

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