Organization
NADENE J TIPTON DDS, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LAWLER (CLINICAL COORDINATOR)
(806) 792-2288
Entity
Organization
Contact information
Practice address
6102 82ND ST, LUBBOCK, TX 79424-3690
(806) 792-2288
(806) 792-2768
Mailing address
6102 82ND ST, LUBBOCK, TX 79424-3690
(806) 792-2288
(806) 792-2768
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16972
TX
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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