Wayne E Tipps in Chattanooga - Oral & Maxillofacial Surgery

Wayne E Tipps - NPI 1154324804

Wayne E Tipps is a Oral & Maxillofacial Surgery in Chattanooga, Tennessee. Wayne E Tipps practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Wayne E Tipps is 1154324804. The last update date is 2016-07-01.

Wayne E Tipps's current location address is 6015 Shallowford Road, Chattanooga, Tennessee. You can contact this provider via phone number 4238933333 and fax number 4239543054. The mailing address for Wayne E Tipps is 6015 Shallowford Road, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne E Tipps
Address 6015 Shallowford Road, Chattanooga, Tennessee
Phone Number 4238933333
Fax Number 4239543054
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1154324804
Provider Enumeration Date 2005-05-25
Last Updated Date 2016-07-01

Provider Mailing Address Detail

Address 6015 Shallowford Road
City Chattanooga
State Tennessee (TN)
Post Code 3742116880
Phone Number 4238933333
Fax Number 4239543054

Provider's Primary Taxonomy Detail

Speciality Oral & Maxillofacial Surgery
Taxonomy 204E00000X
Licence No 2083
Definition:
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4665595 TN AETNA PROVIDER NUMBER
2004791 TN BCBSTN PROVIDER NUMBER
3215429 TN --

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FAQs about Wayne E Tipps

What is the unique identifier code issued to Wayne E Tipps by the Centers for Medicare & Medicaid Services?

The Wayne E Tipps has been assigned the NPI (National Provider Identifier) 1154324804. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Wayne E Tipps is physically located?

The Wayne E Tipps is situated at the following address: 6015 Shallowford Road, Chattanooga, TN 3742116880.

What is the Wayne E Tipps's area of specialization and corresponding taxonomy classification?

The Wayne E Tipps's specialty field is Oral & Maxillofacial Surgery, and it falls under the taxonomy code 204E00000X, which categorizes healthcare providers based on their specialties.

On what date did Wayne E Tipps receive its 1154324804 assignment from the Centers for Medicare & Medicaid Services?

The Wayne E Tipps was assigned its 1154324804 on 2005-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Wayne E Tipps's details last updated?

The information pertaining to the Wayne E Tipps, including its address, specialty, and other details, was most recently updated on 2016-07-01.

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