TIFFANY LYNN NELSON (NPI# 1275727000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275727000 |
| Entity Type | Individual |
| Full Name | TIFFANY LYNN NELSON |
| Credential | DDS |
| Practice Address |
320 West Myrtle St Ste 100 Duluth MN 55811 |
| Mailing Address |
4325 Grand Ave Apt 308 Duluth MN 55807-2730 |
| Practice Telephone | 2184918058 |
| Mailing Telephone | 2186287035 |
| Mailing Fax Number | 2186246594 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14107 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985091 | Tiffany Nelson | Social Worker | 7016 Century Ct, Tinley Park, IL 60477-5486 | 2020-09-02 |
| 1174039879 | Tiffany Nelson | Specialist/Technologist | 1525 Wind River Ln, Billings, MT 59101-8945 | 2017-12-18 |
| 1942712849 | Tiffany La'trelle Nelson | Case Management | 2486 Quacco Rd, Pooler, GA 31322-8402 | 2017-10-31 |
| 1972842359 | Tiffany J Nelson | Nurse Practitioner | 8620 Mora Ln, Saint Louis, MO 63147-1222 | 2013-02-05 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| 1700866597 | Tiffany S. Nelson | Pathology | Psc 482 Box 2612, Fpo, AP 96362 | 2006-01-18 |
| 1265413033 | Tiffany Nelson | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050-7273 | 2005-11-09 |
| 1235606476 | Tiffany M Nelson | Behavior Technician | 1325 Howe Ave Ste 207, Sacramento, CA 95825-3364 | 2018-10-25 |
| 1225565948 | Tiffany Nelson | Nurse Practitioner | 100 North Main Street, Gideon, MO 63848 | 2017-05-12 |
| 1730552753 | Tiffany Nelson | Case Manager/Care Coordinator | 4700 Wichers Dr, 205, Marrero, LA 70072-3041 | 2015-11-12 |
| Street Address |
320 WEST MYRTLE ST STE 100 |
| City | DULUTH |
| State | MN |
| Zip Code | 55811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835570 | Affordable Dentures & Implants of Georgia II, LLC | Dentist | 3675 Satellite Blvd Ste 700, Duluth, GA 30096-2309 | 2020-09-11 |
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1477074466 | Kelly Ann Pohlman | Dentist | 3700 Crestwood Pkwy Nw Ste 180, Duluth, GA 30096-5583 | 2017-06-29 |
| 1487191649 | Sage Dental Group of Georgia, LLC | Dentist | 11160 Medlock Bridge Rd, Suite 120, Duluth, GA 30097-2590 | 2017-01-26 |
| 1730538661 | Gianna Paola Koker | Dentist | 4310 Menard Dr Ste 300, Duluth, MN 55811-1564 | 2016-06-10 |
| 1932560034 | Jasmine Ahn | Dentist | 7063 Belltoll Ct, Duluth, GA 30097-2507 | 2016-03-16 |
| 1518340009 | Go Eun Kim | Dentist | 2476 Pleasant Hill Rd Ste 201, Duluth, GA 30096-4300 | 2015-07-02 |
| 1912315730 | Jonathan Hu Chang | Dentist | 1630 Pleasant Hill Rd Ste 200, Duluth, GA 30096-5828 | 2014-07-24 |
| 1861836553 | Joanna I Bodea | Dentist | 5805 State Bridge Rd Ste L, Duluth, GA 30097-6427 | 2013-04-24 |
| 1154669406 | Thomas E Geoghegan | Dentist | 2785 Buford Hwy, Bldg. B, Suite 101, Duluth, GA 30096-2800 | 2013-01-22 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on TIFFANY LYNN NELSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.