Mackenzie K Lopp, DMD is a
Dentist - General Practice based in Brookston, Indiana. Mackenzie K Lopp is licensed to practice in Indiana (license number 12012810A) and his current practice location is
803 S Prairie St, Brookston, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 563-6667.
NPI number for Mackenzie K Lopp is 1790202075 and his current mailing address is Po Box 158, Brookston, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790202075.
Healthcare Provider's Profile
Full Name | Mackenzie K Lopp |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 803 S Prairie St, Brookston, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790202075
- Provider Enumeration Date: 08/28/2017
- Last Update Date: 05/24/2023
Medical Identifiers
Medical identifiers for Mackenzie K Lopp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790202075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12012810A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie K Lopp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mackenzie K Lopp, DMD Po Box 158, Brookston, IN 47923-0158 Ph: (765) 563-3636 | Mackenzie K Lopp, DMD 803 S Prairie St, Brookston, IN 47923-8410 Ph: (765) 563-6667 |
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