Russell Thomas Tipton, DMD Valid NPI
Individual provider · Dentist · Tempe, AZ
- NPI
- 1619024643
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D3910 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-04
- Last updated
- 2007-07-08
Practice location
2084 E Southern Ave, G101
Tempe, AZ 85282
(480) 838-3437