Individual
TIFFANY SHY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9267 N TORREY LN, HAYDEN, ID 83835-8034
(208) 659-4779
Mailing address
9267 N TORREY LN, HAYDEN, ID 83835-8034
(208) 659-4779
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-1190
ID
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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