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BLAYNE TIPTON DDS PA NPI 1508016163


NPI Information

NPI: 1508016163
Provider Name: BLAYNE TIPTON DDS PA

Doing Business As: TIPTON PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
307 G CARPENTER DAM ROAD
HOT SPRINGS, AR
ZIP 71901
Phone: (501) 520-5437
Get Directions

BLAYNE TIPTON DDS PA is a pediatric dentistry dentist in Hot Springs, AR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BLAYNE TIPTON DDS PA NPI is 1508016163. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tipton Pediatric Dentistry.

The provider's business location address is:

307 G CARPENTER DAM ROAD
HOT SPRINGS, AR
ZIP 71901
Phone: (501) 520-5437
Fax: (501) 520-5433

The provider's authorized official is Blayne H Tipton .
The authorized official title is President and has the following contact phone number (501) 520-5437.

The enumeration date for this NPI number is 9/19/2008 and was last updated on 11/22/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1154429608MEDICAIDARKANSAS
2171064631MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.