Individual
TIFFANY M PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(252) 717-6429
Mailing address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
(252) 737-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
AC5385578-R613
NC
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
08976
NC
Other
Enumeration date
05/06/2010
Last updated
10/29/2021
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