Provider Demographics
NPI:1932593209
Name:DAVID F. TIPTON, DDS, APC
Entity Type:Organization
Organization Name:DAVID F. TIPTON, DDS, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:714-374-8800
Mailing Address - Street 1:19051 GOLDENWEST ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2155
Mailing Address - Country:US
Mailing Address - Phone:714-374-8800
Mailing Address - Fax:714-374-1399
Practice Address - Street 1:19051 GOLDENWEST ST
Practice Address - Street 2:SUITE 108
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2155
Practice Address - Country:US
Practice Address - Phone:714-374-8800
Practice Address - Fax:714-374-1399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty