Provider Demographics
NPI:1609883677
Name:HIBLER, JEANNE ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:ANN
Last Name:HIBLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:ANN
Other - Last Name:WORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2549 SILVER CLOUD CT
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84060
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1580 EAST 3900 SOUTH
Practice Address - Street 2:#110
Practice Address - City:SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84124
Practice Address - Country:US
Practice Address - Phone:801-272-8555
Practice Address - Fax:801-272-1825
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1442221223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry