Dallin Jay Tipton, DMD

NPI #1285258129 in Dekalb, Illinois

Provider Information

NPI Number: 1285258129
Entity Type: Individual
Name: Dallin Jay Tipton, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 6, 2020
Last Updated: Jun 6, 2020

Practice Location

Address: 2235 SYCAMORE RD
City: Dekalb
State: Illinois
ZIP Code: 60115-2046
Phone: (815) 517-0178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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