| Tiffany Bass, Dds, Pllc | |
|
1100 Station Dr Ste 221 Dupont WA 98327-9777 | |
| (253) 912-4443 | |
| (253) 912-4426 |
| Full Name | Tiffany Bass, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1100 Station Dr Ste 221, Dupont, Washington |
| Authorized Official Name and Position | Tiffany Bass (DENTIS) |
| Authorized Official Contact | 2539124443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Bass, Dds, Pllc 1100 Station Dr Ste 221 Dupont WA 98327-9777 Ph: (253) 912-4443 | Tiffany Bass, Dds, Pllc 1100 Station Dr Ste 221 Dupont WA 98327-9777 Ph: (253) 912-4443 |
| NPI Number | 1548979743 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548979743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Dupont Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Station Dr, Suite 221, Dupont, WA 98327 Phone: 253-912-4443 Fax: 253-912-4426 |