Mrs. Tiffany Ann Kilpatrick
Dental Hygienist
1804 Elmhurst Ave
Jersey Shore
, Pennsylvania 17740-1514
Mrs. Tiffany Ann Kilpatrick
Dental Hygienist
1804 Elmhurst Ave
Jersey Shore
, Pennsylvania 17740-1514
(570) 295-8089
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mrs. Tiffany Ann Kilpatrick
- Po Box 642
- Jersey Shore, PA
- Zip : 17740-0642
- Phone : (570) 295-8089
Second Address
- Mrs. Tiffany Ann Kilpatrick
- 1804 Elmhurst Ave
- Jersey Shore, PA
- Zip : 17740-1514
- Phone : (570) 295-8089
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH071708 | PA |
National Provider Identifier
| NPI | 1063008217 |
|---|---|
| Provider Name | Mrs. Tiffany Ann Kilpatrick |
| First Address | Jersey Shore, PA 17740-0642 |
| Second Address | Jersey Shore, PA 17740-1514 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2020 |
| Last Update Date | 17/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.