Individual
DR. NICHOLAS TYLER TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3833 CAMP BOWIE BLVD, FORT WORTH, TX 76107-3355
(817) 672-9867
Mailing address
3833 CAMP BOWIE BLVD, FORT WORTH, TX 76107-3355
(214) 828-8489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39516
TX
1223P0300X
Periodontics
Primary
39516
TX
Other
Enumeration date
06/16/2023
Last updated
06/19/2026
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