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NPI Code Detail

MEDICARE: DR. TIFFANY KRIMMINGER DMD

MEDICARE: DR. TIFFANY KRIMMINGER 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
1122300000XDentist2017019881MO

General Provider Information

NPI Number : 1699205062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIFFANY KRIMMINGER DMD
Provider Business Mailing Address
First Line : 621 S NEW BALLAS RD STE 10A
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8239
Country : US
Telephone Number : 314-251-5775
Fax Number : 314-251-5776
Provider Business Practice Location Address
First Line : 621 S NEW BALLAS RD STE 10A
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8239
Country : US
Telephone Number : 314-251-5775
Fax Number : 314-251-5776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2017
Last Update Date : 02/17/2025

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Directions to “ DR. TIFFANY KRIMMINGER DMD” Practice Location

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