Deryl Palmer Kipp D.D.S.

NPI 1609103803 - Dentist - 1223S0112X

NPI Details
NPI 1609103803
Gender Male
Enumeration Date 11/09/2009
Last Updated 11/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
765 HIGH ST
BATH ME, 04530-2496, US
Phone (207) 443-3220
Fax (207) 443-5462
Business Location
765 HIGH ST
BATH ME, 04530-2496, US
Phone (207) 443-3220
Fax (207) 443-5462
Toxanomy
Taxonomy Code 1223S0112X
License State Maine
License Number 2767
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According to our database, Dr. Deryl Palmer Kipp D.D.S. NPI is 1609103803, taxonomy code is 1223S0112X and license number is 2767, license state is located at Maine. Deryl Palmer Kipp D.D.S. physically located at 765 High St, Bath ME, 04530-2496. NPI Number Deryl Palmer Kipp D.D.S. has the Individual type.

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1609103803 NPI number is provided on an as is basis without warranty of any kind. 1609103803 is maintained by the National Plan & Provider Enumeration System. The contents of Deryl Palmer Kipp D.D.S. are for informational purposes only.