Individual provider · Type 1 NPI

Dustin Shane Tipton, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Woodstock, GA

NPI number 1992990873 Active

Practice location

2230 Towne Lake Pkwy, Bldg 1100 Suite 100
Woodstock, GA 30189

Call (678) 445-5444 Map

Fax (678) 445-5552

Mailing address

PO Box 195
Woodstock, GA 30188

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN013497 (GA)

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 1992990873

Dustin Shane Tipton, DDS's National Provider Identifier is 1992990873, issued on Sep 13, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Woodstock, GA. The record was last updated on Sep 13, 2007.