Provider Demographics
NPI:1871933028
Name:CASH, TIFFANY C (DMD)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:C
Last Name:CASH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:PESHTIGO
Mailing Address - State:WI
Mailing Address - Zip Code:54157-1421
Mailing Address - Country:US
Mailing Address - Phone:715-582-3601
Mailing Address - Fax:
Practice Address - Street 1:141 W FRONT ST
Practice Address - Street 2:
Practice Address - City:PESHTIGO
Practice Address - State:WI
Practice Address - Zip Code:54157-1421
Practice Address - Country:US
Practice Address - Phone:715-582-3601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7092-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist