Individual
TIFFANY CHUNG WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
20 COMMERCE WAY, SEEKONK, MA 02771-5823
(508) 336-6700
Mailing address
2183 MCCLELLAN ST, EAST MEADOW, NY 11554-2010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13517
CT
1223G0001X
General Practice Dentistry
Primary
DN1859747
MA
1223G0001X
General Practice Dentistry
PENDING
CT
261QS1000X
Student Health Clinic/Center
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2022
Last updated
06/01/2026
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