Tiffany Ann Brown, DA

Individual provider Active NPI Dental Assistant · Cameron, NC

NPI 1346700283 · NPPES record last updated Mar 25, 2019

Key facts

NPI
1346700283
Entity type
Individual (NPI type 1)
Primary specialty
Dental Assistant 126800000X
License
DA4821 (NM)
Practice address
85 Tripoli Dr
Cameron, NC 28326-5542
Phone
(575) 415-5749
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DA4821NMMDDental Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X DA4821 NM Yes

Addresses

Primary practice location

85 Tripoli Dr
Cameron, NC 28326-5542

Mailing address

85 Tripoli Dr
Cameron, NC 28326-5542

Other names

  • Ms. Tiffany Ann Brown Former name

Other providers in Cameron, NC

All providers in Cameron, NC · Dental Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.