Organization · Type 2 NPI

Terry Tippin, D.m.d., P.l.c.

Orthodontics and Dentofacial Orthopedics Dentistry · Jacksonville, FL

NPI number 1396984878 Active

Practice location

2800 University Blvd. North
Jacksonville, FL 32211-3394

Fax (904) 256-7845

Mailing address

132 Southern Blvd., Oak Park Dental
Savannah, GA 31405-7414

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN008730 (GA)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDN7025 (FL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1396984878

Terry Tippin, D.m.d., P.l.c.'s National Provider Identifier is 1396984878, issued on Feb 6, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 6, 2009.