Individual
TIFFANY NICOLE LEMASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1423 3RD AVE, HUNTINGTON, WV 25701-1614
(304) 691-0700
Mailing address
PO BOX 327, HUNTINGTON, WV 25708-0327
(304) 429-1088
(304) 429-3109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30-025926
OH
1223G0001X
General Practice Dentistry
Primary
3971
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810022482
—
WV
Enumeration date
10/20/2011
Last updated
08/03/2023
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