Brandon John Tilts in Flagstaff - Dentist
Brandon John Tilts - NPI 1073709366
Brandon John Tilts is a Dentist in Flagstaff, Arizona. Brandon John Tilts practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brandon John Tilts is 1073709366. The last update date is 2012-03-26.
Brandon John Tilts's current location address is 518 N Beaver St, Flagstaff, Arizona. You can contact this provider via phone number 9287744705 and fax number 9282139665. The mailing address for Brandon John Tilts is 518 N Beaver St, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brandon John Tilts |
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Address | 518 N Beaver St, Flagstaff, Arizona |
Phone Number | 9287744705 |
Fax Number | 9282139665 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1073709366 |
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Provider Enumeration Date | 2007-09-20 |
Last Updated Date | 2012-03-26 |
Provider Mailing Address Detail
Address | 518 N Beaver St |
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City | Flagstaff |
State | Arizona (AZ) |
Post Code | 860013020 |
Phone Number | 9287744705 |
Fax Number | 9282139665 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 7686 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Brandon John Tilts by the Centers for Medicare & Medicaid Services?
The Brandon John Tilts has been issued the NPI (National Provider Identifier) 1073709366, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brandon John Tilts is geographically located?
The Brandon John Tilts is physically situated at the following location: 518 N Beaver St, Flagstaff, AZ, 860013020.
What is Brandon John Tilts's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brandon John Tilts is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date was the 1073709366 assigned to Brandon John Tilts?
The Brandon John Tilts was issued its 1073709366 on 2007-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Brandon John Tilts most recently updated?
The details pertaining to the Brandon John Tilts, including its address, specialty, and other relevant information, were last refreshed on 2012-03-26.