Individual
TONYA R TRIPLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1607 E RAINFOREST DR, FAYETTEVILLE, AR 72703-5385
(479) 582-0600
(479) 443-4630
Mailing address
1607 E RAINFOREST DR, FAYETTEVILLE, AR 72703-5385
(479) 582-0600
(479) 443-4630
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3281
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136324608
—
AR
01
—
1400699
UCCI
AR
01
—
3281
DELTA
AR
01
—
5U273
BCBS
AR
Enumeration date
12/06/2006
Last updated
12/09/2013
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