Provider Demographics
NPI:1861587941
Name:KRIBBS, PATRICIA JO (DDS MSD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JO
Last Name:KRIBBS
Suffix:
Gender:F
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2840 PLAZA PL
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-6346
Mailing Address - Country:US
Mailing Address - Phone:919-787-8060
Mailing Address - Fax:919-787-8098
Practice Address - Street 1:2840 PLAZA PL
Practice Address - Street 2:SUITE 110
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-6346
Practice Address - Country:US
Practice Address - Phone:919-787-8060
Practice Address - Fax:919-787-8098
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC75651223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics