Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant David Hartwell Tippet

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1831719251

Grant David Hartwell Tippet is an Oral Surgery in Portsmouth, Virginia. Graduated from University of Texas Medical School at San Antonio in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Texas and Virginia.

Years since qualifying
6
Trained at
University of Texas Medical School at San Antonio
Licensed in
TX, VA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

620 Jhn Paul Jns Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-2730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 0401418754 (VA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 36667 (TX)

Record details

NPI number1831719251
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 27, 2020
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesDENTIST
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Portsmouth