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TIFFANY MO DMD
NPI 1568393353
Dentist in Lake Geneva, WI

Active since May 28, 2026
851 PARK DR STE 101, LAKE GENEVA, WI 53147(262) 248-4991 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tiffany Mo Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY MO DMD (NPI 1568393353) is an individual dentist in Lake Geneva, Wisconsin, licensed in Wisconsin (6002232-15) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1568393353
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameTIFFANY MOCredential: DMD
Location Address851 PARK DR STE 101Lake Geneva, WI 53147-4586
Mailing Address851 Park Dr Ste 101Lake Geneva, WI 53147-4586
Phone(262) 248-4991
Sole ProprietorNo
Enumeration DateMay 28, 2026
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1568393353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6002232-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
851 PARK DR STE 101, Lake Geneva, WI 53147
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KERRI MCGRAIL DDS
Dentist
851 PARK DR STE 101
LAKE GENEVA, WI 53147
Walworth County (262) 248-4991
ANDREW NGUYEN LAM
Dentist (General Practice)
851 PARK DR STE 101
LAKE GENEVA, WI 53147
Walworth County (262) 248-4991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Mo's NPI number?

The NPI number for Tiffany Mo is 1568393353. It was assigned to this individual provider in the NPPES registry on May 28, 2026.

Where is Tiffany Mo located?

Tiffany Mo practices at 851 Park Dr Ste 101, Lake Geneva, WI 53147. The listed phone number is (262) 248-4991.

What is Tiffany Mo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Tiffany Mo was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.