Individual
MATTHEW TIPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
431 VICTORIA RD, NEWTON, KS 67114-5653
(316) 283-2970
Mailing address
431 VICTORIA RD, NEWTON, KS 67114-5653
(316) 283-2970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61000
KS
Other
Enumeration date
06/12/2013
Last updated
06/13/2013
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