Provider Demographics
NPI:1427581206
Name:MELISSA TUFT, DDS
Entity Type:Organization
Organization Name:MELISSA TUFT, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUFT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-392-3689
Mailing Address - Street 1:450 SUTTER ST
Mailing Address - Street 2:SUITE 1619
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4206
Mailing Address - Country:US
Mailing Address - Phone:415-392-3689
Mailing Address - Fax:415-391-5251
Practice Address - Street 1:450 SUTTER ST
Practice Address - Street 2:SUITE 1619
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4206
Practice Address - Country:US
Practice Address - Phone:415-392-3689
Practice Address - Fax:415-391-5251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31540122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty