Tilts, Dawn O
Tilts, Dawn O is an individual health care provider with primary practice located at 518 N Beaver St Suite A, Flagstaff AZ 86001-3020. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Tilts, Dawn O can be contacted via phone (928) 774-4705.Contact Information
Primary practice address
518 N Beaver St Suite A
Flagstaff AZ 86001-3020
Phone: (928) 774-4705
Fax: (928) 213-9665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 7618 | Arizona |
Profile Details
| NPI number | 1952567661 |
|---|---|
| LBN Legal business name | Tilts, Dawn O |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2008 |
| Last updated | Mar 22nd, 2012 - about 12 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 | 1952567661 | NPPES |
| Arizona | MEDICAID | 410898 |
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