Triplett, Tonya R

Triplett, Tonya R is an individual health care provider with primary practice located at 1607 E Rainforest Dr , Fayetteville AR 72703-5385. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Triplett, Tonya R can be contacted via phone (479) 582-0600.

Contact Information

Primary practice address
1607 E Rainforest Dr Fayetteville AR 72703-5385
Fax: (479) 443-4630
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3281 Arkansas

Profile Details

NPI number 1407915531
LBN Legal business name Triplett, Tonya R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 9th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407915531 NPPES
Arkansas Other 1400699 UCCI
Arkansas MEDICAID 136324608 UCCI
Arkansas Other 5U273 UCCI
Arkansas Other 3281 UCCI

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