Individual
DR. BLAYNE HILLYARD TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 G CARPENTER DAM ROAD, HOT SPRINGS, AR 71901
(501) 520-5437
(501) 520-5433
Mailing address
307 G CARPENTER DAM ROAD, HOT SPRINGS, AR 71901
(501) 520-5437
(501) 520-5433
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3484
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154429608
—
AR
Enumeration date
05/03/2007
Last updated
11/27/2017
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