Individual provider · Type 1 NPI

Grant David Hartwell Tippet

Oral and Maxillofacial Surgery (Dentist) · Portsmouth, VA

NPI number 1831719251 Active

Practice location

620 Jhn Paul Jns Cir
Portsmouth, VA 23708-2111

Call (757) 953-2730 Map

Mailing address

3394 Village Square Pl
Suffolk, VA 23435-1360

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X36667 (TX)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0401418754 (VA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

12 other providers at this address

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About NPI 1831719251

Grant David Hartwell Tippet's National Provider Identifier is 1831719251, issued on Apr 27, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portsmouth, VA. The record was last updated on Jul 11, 2025.