Mo, Tiffany
Mo, Tiffany is an individual health care provider with primary practice located at 851 Park Dr Ste 101 , Lake Geneva WI 53147-4586. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mo, Tiffany can be contacted via phone (262) 248-4991.Contact Information
Primary practice address
851 Park Dr Ste 101
Lake Geneva WI 53147-4586
Phone: (262) 248-4991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6002232-15 | Wisconsin |
Profile Details
| NPI number | 1568393353 |
|---|---|
| LBN Legal business name | Mo, Tiffany |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2026 |
| Last updated | Jun 17th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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