Tipton, Blayne Hillyard

Tipton, Blayne Hillyard is an sole proprietor health care provider with primary practice located at 307 G Carpenter Dam Road , Hot Springs AR 71901. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Tipton, Blayne Hillyard can be contacted via phone (501) 520-5437.

Contact Information

Primary practice address
307 G Carpenter Dam Road Hot Springs AR 71901
Fax: (501) 520-5433
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3484 Arkansas

Profile Details

NPI number 1831301951
LBN Legal business name Tipton, Blayne Hillyard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Nov 27th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831301951 NPPES
Arkansas MEDICAID 154429608

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