Provider Demographics
NPI:1821322066
Name:RANSOM, TIFFANY L T (DDS)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:L T
Last Name:RANSOM
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 1:7423 ALDERLY DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-3470
Mailing Address - Country:US
Mailing Address - Phone:512-497-4690
Mailing Address - Fax:
Practice Address - Street 1:17222 RED OAK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2648
Practice Address - Country:US
Practice Address - Phone:281-440-3113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25025122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist