Provider Demographics
NPI:1710163209
Name:STRATTON, TIFFINI (DDS)
Entity Type:Individual
Prefix:
First Name:TIFFINI
Middle Name:
Last Name:STRATTON
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 1:155 W SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2632
Mailing Address - Country:US
Mailing Address - Phone:210-899-6730
Mailing Address - Fax:833-898-4924
Practice Address - Street 1:155 W SUNSET RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2632
Practice Address - Country:US
Practice Address - Phone:210-899-6730
Practice Address - Fax:833-898-4924
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234281223G0001X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice