Phillip Tippin

NPI #1104238161 in Newton, Kansas

Provider Information

NPI Number: 1104238161
Entity Type: Individual
Name: Phillip Tippin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: May 27, 2014
Last Updated: Jun 27, 2014

Practice Location

Address: 431 VICTORIA RD
City: Newton
State: Kansas
ZIP Code: 67114-5653
Phone: (316) 283-2970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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