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NPI Code Detail

MEDICARE: DR. STEVEN P TIPPS DDS

MEDICARE:  DR. STEVEN P TIPPS  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204E00000XOral & Maxillofacial Surgery (D.M.D.)3511TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10050858OTHERTNBCBSTN PROVDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34665225OTHERTNAETNA PROVIDER NUMBER

General Provider Information

NPI Number : 1033112180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN P TIPPS DDS
Provider Business Mailing Address
First Line : 6015 SHALLOWFORD ROAD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-1688
Country : US
Telephone Number : 423-893-3333
Fax Number : 423-954-3054
Provider Business Practice Location Address
First Line : 6015 SHALLOWFORD ROAD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-1688
Country : US
Telephone Number : 423-893-3333
Fax Number : 423-954-3054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/01/2016

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Directions to “ DR. STEVEN P TIPPS DDS” Practice Location

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