Tiffany M Peterson DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TIFFANY M PETERSON DDS PA

Practice address

3911 W Atlantic Ave
Delray Beach, FL 33445-3902

Phone

(561) 498-0050

Fax

(561) 498-0841

NPI assigned

Mar 4, 2019

Last updated

Mar 4, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tiffany Melissa Dudley, DDSNPI 1679720247

Title

President/Dentist

Phone

(305) 803-9142

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Melissa Dudley, DDS

  • Dentist
  • Delray Beach, FL
  • NPI 1679720247
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1336607878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 EMERALD ROW",
            "city": "GULF STREAM",
            "state": "FL",
            "postal_code": "334836107",
            "telephone_number": "305-803-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453902",
            "telephone_number": "561-498-0050",
            "fax_number": "561-498-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY M PETERSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "305-803-9142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Michael Thornton, FNP-BC
• Nina L Thrasher, PA-C
• Three Dots LLC
• Agne Thrift, LMHC
• James Tichy
• Tim R Williams MD PA (South Florida Proton Therapy Institute)
• Corlia Timmerman, OT
• Michael B. Tindel, M.D.
• Margareta B Tinsley, PHARM D
• Nagaraja Tiruvalam, PT

• Dental Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.