TIFFANY M PETERSON DDS PA (NPI# 1336607878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336607878 |
| Entity Type | Organization |
| Organization Name | TIFFANY M PETERSON DDS PA |
| Practice Address |
3911 W Atlantic Ave Delray Beach FL 33445-3902 |
| Mailing Address |
925 Emerald Row Gulf Stream FL 33483-6107 |
| Practice Telephone | 5614980050 |
| Practice Fax Number | 5614980841 |
| Mailing Telephone | 3058039142 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | DR. TIFFANY MELISSA DUDLEY (PRESIDENT/DENTIST) |
| Authorized Official Telephone | 3058039142 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
3911 W ATLANTIC AVE |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730118605 | Alfredo Jose Fernandez | Dentist | 3911 W Atlantic Ave, Delray Beach, FL 33445-3902 | 2006-07-02 |
| 1043862634 | Jennifer R Muir | Dentist | 3911 W Atlantic Ave, Delray Beach, FL 33445-3902 | 2019-07-12 |
| 1538696190 | Michael Benjamin Alexander Paisner | Dentist | 3911 W Atlantic Ave, Delray Beach, FL 33445-3902 | 2017-05-15 |
| 1912316266 | Daniel Torres Dmd Pa | Dentist | 3911 W Atlantic Ave, Delray Beach, FL 33445-3902 | 2014-08-11 |
| 1023263621 | Juan J Cabanillas | Dentist | 3911 W Atlantic Ave, Delray Beach, FL 33445-3902 | 2008-11-24 |
| 1679720247 | Tiffany Melissa Dudley | Dentist | 3911 W Atlantic Ave, Delray Beach, FL 33445-3902 | 2008-08-26 |
| 1073522017 | Craig Spodak | Dentist | 3911 W Atlantic Ave, Delray Beach, FL 33445-3902 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476027 | R & R Dentistry Pa | Clinic/Center | 6290 Linton Blvd Unit 202, Delray Beach, FL 33484-6409 | 2020-10-26 |
| 1780237750 | Flora Dental, P.a. | Clinic/Center | 15065 S State Road 7 Ste 500, Delray Beach, FL 33446-4105 | 2019-07-18 |
| 1548829138 | Apple Mobile Dental Management | Clinic/Center | 2054 Alta Meadows Ln Apt 2402, Delray Beach, FL 33444-1185 | 2019-06-07 |
| 1649744632 | Brush Delray, Pllc | Clinic/Center | 8975 Atlantic Ave, Delray Beach, FL 33446 | 2019-01-14 |
| 1104372432 | Tdc Delray LLC | Clinic/Center | 7901 Atlantic Ave, Suite 102, Delray Beach, FL 33446 | 2016-08-28 |
| 1376893792 | Maria Castaneda Dmd Pl | Clinic/Center | 16850 Jog Rd, Suite 114n, Delray Beach, FL 33446-2383 | 2012-09-13 |
| 1396899118 | Eledent, Inc. Pa | Clinic/Center | 801 Se 6th Ave, Suite #105, Delray Beach, FL 33483-5185 | 2007-01-22 |
| 1265056436 | Delray Dental Group | Clinic/Center | 4765 W Atlantic Avenue, Delray Beach, FL 33445 | 2020-06-03 |
| 1942831011 | Friedman Dental Group Delray Pllc | Clinic/Center | 601 N Congress Ave, Delray Beach, FL 33445-4646 | 2020-01-28 |
| 1770028243 | East Delray Dental, Pllc | Clinic/Center | 715 Ne 3rd Ave, Delray Beach, FL 33444-3822 | 2016-12-19 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on TIFFANY M PETERSON DDS PA.
| 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.