Individual
DR. TIFFANY DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
209 W 5TH NORTH ST, SUMMERVILLE, SC 29483-6511
(843) 873-3706
Mailing address
209 W 5TH NORTH ST, SUMMERVILLE, SC 29483-6511
(843) 873-3706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8719
SC
122300000X
Dentist
9749
NC
Other
Enumeration date
06/29/2014
Last updated
01/18/2018
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