| William E. Lippsich, D.m.d., P.a. | |
|
841 E Ocean Blvd Stuart FL 34994-2427 | |
| (772) 223-0600 | |
| (772) 223-0617 |
| Full Name | William E. Lippsich, D.m.d., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 841 E Ocean Blvd, Stuart, Florida |
| Authorized Official Name and Position | William E Lippisch (OWNER) |
| Authorized Official Contact | 7722230600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William E. Lippsich, D.m.d., P.a. 841 E Ocean Blvd Stuart FL 34994-2427 Ph: (772) 223-0600 | William E. Lippsich, D.m.d., P.a. 841 E Ocean Blvd Stuart FL 34994-2427 Ph: (772) 223-0600 |
| NPI Number | 1194095596 |
|---|---|
| Provider Enumeration Date | 01/03/2012 |
| Last Update Date | 01/03/2012 |
| Medicare PECOS PAC ID | 7416106364 |
|---|---|
| Medicare Enrollment ID | O20121009000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194095596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | BL1797058 (Florida) | Primary |
| Provider Name | William E Lippisch |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1952337768 PECOS PAC ID: 8123277076 Enrollment ID: I20121009000528 |
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