Brandon John Tilts, DDS
Dentist in Flagstaff, AZ. Individual provider (NPI-1).
NPI number1073709366
StatusActive
Last updated in NPPESMar 26, 2012
Details
- NPI
- 1073709366
- Entity type
- Individual (NPI-1)
- Name
- Brandon John Tilts
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2007
- Last updated
- Mar 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 7686 | AZ | Yes |
Practice location
518 N Beaver StSuite A
Flagstaff, AZ 86001-3020
Phone 928-774-4705 · Fax 928-213-9665
Mailing address
3505 W Lead RopeFlagstaff, AZ 86001-2302
Phone 928-637-5354
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All 37 Dentist providers in Flagstaff · All 3,116 providers in Flagstaff
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