# TIFFANY L PALM DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003393331
- **Authorized official:** MISS TIFFANY LYNN PALM DMD (PRESIDENT)
- **Authorized official phone:** (724) 652-7491

## Contact information

- **Practice address:** 2210 WILMINGTON RD, NEW CASTLE, PA 16105-1933
- **Practice address phone:** (724) 652-7491
- **Practice address fax:** (724) 652-0810
- **Mailing address:** 2210 WILMINGTON RD, NEW CASTLE, PA 16105-1933
- **Mailing address phone:** (724) 652-7491
- **Mailing address fax:** (724) 652-0810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS040562 | PA | Yes |

## Other

- **Enumeration date:** 07/19/2018
- **Last updated:** 07/19/2018