JOHN MATTHEW TRIPP EPDH LD NPI 1407153612

NPI Information

NPI: 1407153612
Provider Name: JOHN MATTHEW TRIPP, EPDH, LD
Classification: Denturist - 122400000X
Entity Type: Individual
Address:
212 NE SAVAGE ST STE B
GRANTS PASS, OR
ZIP 97526
Phone: (541) 476-8338
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John Matthew Tripp, EPDH, LD is a denturist in Grants Pass, OR. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. John Matthew Tripp, EPDH, LD NPI is 1407153612. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

212 NE SAVAGE ST STE B
GRANTS PASS, OR
ZIP 97526-361
Phone: (541) 476-8338

The enumeration date for this NPI number is 2/24/2011 and was last updated on 12/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122400000X	Denturist		DT-DO-10189132	OREGON	Yes
2	124Q00000X	Dental Hygienist		H5633	OREGON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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