Individual provider · Type 1 NPI

John Matthew Tripp, EPDH, LD

Denturist · Grants Pass, OR

NPI number 1407153612 Active

Practice location

212 NE Savage St Ste B
Grants Pass, OR 97526-1361

Mailing address

4542 Averill Dr
Grants Pass, OR 97526-4114

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000XH5633 (OR)
Denturist Primary 122400000XDT-DO-10189132 (OR)

Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

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About NPI 1407153612

John Matthew Tripp, EPDH, LD's National Provider Identifier is 1407153612, issued on Feb 24, 2011. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Grants Pass, OR. The record was last updated on Dec 20, 2019.