MEDICARE: DR. TIFFANI BLESSIE DMD

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
1	1223G0001X	General Practice Dentistry	D011420	AZ
2	1223D0001X	Public Health Dentistry	D011420	AZ

General Provider Information

NPI Number	:	1225767510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIFFANI BLESSIE DMD

Provider Business Mailing Address
First Line	:	2177 S MCQUEEN RD APT 3092
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85286-1852
Country	:	US
Telephone Number	:	815-579-4318
Fax Number	:

Provider Business Practice Location Address
First Line	:	15215 S 48TH ST STE 190
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-9140
Country	:	US
Telephone Number	:	480-893-2474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2022
Last Update Date	:	08/03/2022

Similar Medicare Providers

1669360715 — CALLIE SINCENNES OD
Practice Location Address:

15215 S 48TH ST STE 180
PHOENIX, AZ
85044-9140

Practice Phone: 480-706-3937
Practice Fax:

1043388010 — DR. RANDY L MOW DDS
Practice Location Address:

15215 S 48TH ST STE 175
PHOENIX, AZ
85044-9140

Practice Phone: 480-759-9300
Practice Fax:

1023365764 — DR. AMY MARIE NORDQUIST D.D.S.
Practice Location Address:

15215 S 48TH ST STE 190
PHOENIX, AZ
85044-9140

Practice Phone: 480-706-0029
Practice Fax:

1457719114 — MOUNTAIN PARK DENTISTRY L.L.C.
Practice Location Address:

15215 S 48TH ST STE 175
PHOENIX, AZ
85044-9140

Practice Phone: 480-759-9300
Practice Fax: 480-759-2130

1255826681 — DR. ERIC BRADFORD VANAUSDAL OD
Practice Location Address:

15215 S 48TH ST STE 180
PHOENIX, AZ
85044-9140

Practice Phone: 480-706-3937
Practice Fax:

1558015024 — NHAT HAO NGUYEN
Practice Location Address:

15215 S 48TH ST STE 180
PHOENIX, AZ
85044-9140

Practice Phone: 480-706-3937
Practice Fax:

Directions to “ DR. TIFFANI BLESSIE DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.