Palmer, Tyffani Tynneil
Palmer, Tyffani Tynneil is an individual health care provider with primary practice located at 7451 N Beach St Ste 140 , Fort Worth TX 76137-5160. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Palmer, Tyffani Tynneil can be contacted via phone (817) 847-7001.Contact Information
Primary practice address
7451 N Beach St Ste 140
Fort Worth TX 76137-5160
Phone: (817) 847-7001
Fax: (817) 847-7009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 27199 | Texas |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 27199 | Texas |
Profile Details
| NPI number | 1518245331 |
|---|---|
| LBN Legal business name | Palmer, Tyffani Tynneil |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2011 |
| Last updated | Oct 19th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518245331 | NPPES |
| Texas | Other | 27199 | TEXAS DENTAL LICENSE |
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