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Organization

TERRY TIPPIN, D.M.D., P.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY TIPPIN D.M.D.,P.L.C. (ORTHODONTIST)
(904) 261-5811
Entity
Organization

Contact information

Practice address
2800 UNIVERSITY BLVD. NORTH, JACKSONVILLE, FL 32211-3394
(904) 256-7849
(904) 256-7845
Mailing address
132 SOUTHERN BLVD., OAK PARK DENTAL, SAVANNAH, GA 31405-7414
(912) 356-5444
(912) 356-1837

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN008730
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN7025
FL

Other

Enumeration date
02/06/2009
Last updated
02/06/2009
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