Jason T. Lipscomb D.d.s. P.c. | |
200 Executive Center Pkwy Suite 104 Fredericksburg VA 22401-3177 | |
(540) 373-1641 | |
Not Available |
Full Name | Jason T. Lipscomb D.d.s. P.c. |
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Speciality | Dentist - General Practice |
Location | 200 Executive Center Pkwy, Fredericksburg, Virginia |
Authorized Official Name and Position | Jason T. Lipscomb (OWNER) |
Authorized Official Contact | 5403731641 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jason T. Lipscomb D.d.s. P.c. 200 Executive Center Pkwy Suite 104 Fredericksburg VA 22401-3177 Ph: (540) 373-1641 | Jason T. Lipscomb D.d.s. P.c. 200 Executive Center Pkwy Suite 104 Fredericksburg VA 22401-3177 Ph: (540) 373-1641 |
NPI Number | 1891986857 |
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Provider Enumeration Date | 08/06/2007 |
Last Update Date | 05/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891986857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 0401410585 (Virginia) | Primary |
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