# NATHANIEL G TIPPIT III DDS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tippit Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699311183
- **Authorized official:** DR. NATHANIEL GEORGE TIPPIT III DDS (PRESIDENT)
- **Authorized official phone:** (713) 465-1860

## Contact information

- **Practice address:** 9099 KATY FWY STE 140, HOUSTON, TX 77024-1632
- **Practice address phone:** (713) 465-1860
- **Practice address fax:** (713) 932-0564
- **Mailing address:** 9099 KATY FWY STE 140, HOUSTON, TX 77024-1632
- **Mailing address phone:** (713) 465-1860
- **Mailing address fax:** (713) 932-0564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2019
- **Last updated:** 08/10/2021