Individual
TIFFANY SHAWNA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7271 GOODMAN RD, OLIVE BRANCH, MS 38654-1906
(901) 861-0031
(901) 861-4031
Mailing address
116 PRIVATE ROAD 3049, OXFORD, MS 38655-5632
(901) 861-0031
(901) 861-4031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112657
MS
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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