Provider Demographics
NPI:1528379740
Name:JADOO, TIFFANY MELINI (DDS)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:MELINI
Last Name:JADOO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-1714
Mailing Address - Country:US
Mailing Address - Phone:646-269-3822
Mailing Address - Fax:
Practice Address - Street 1:3476 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1545
Practice Address - Country:US
Practice Address - Phone:716-332-2444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05554411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry