Gillum, Tiffany
Gillum, Tiffany is an sole proprietor health care provider with primary practice located at 103 N Brentwood Ste 400 , Lufkin TX 75904-7147. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Gillum, Tiffany can be contacted via phone (936) 639-4867.Contact Information
Primary practice address
103 N Brentwood Ste 400
Lufkin TX 75904-7147
Phone: (936) 639-4867
Fax: (936) 639-4868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 28293 | Texas |
Profile Details
| NPI number | 1124363924 |
|---|---|
| LBN Legal business name | Gillum, Tiffany |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2012 |
| Last updated | Aug 3rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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