Provider Demographics
NPI:1831535640
Name:TIPOGRAPH, JENNIFER BIRON (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BIRON
Last Name:TIPOGRAPH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:FAYE
Other - Last Name:BIRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5010 BANGOR DR
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1214
Mailing Address - Country:US
Mailing Address - Phone:240-388-0641
Mailing Address - Fax:
Practice Address - Street 1:5010 BANGOR DR
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-1214
Practice Address - Country:US
Practice Address - Phone:240-388-0641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014141071223G0001X
MD154591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice