# DR. MICHAEL JOSEPH PIPO JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275633794
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 30 . 018267 | OH | — |
| 1223G0001X | General Practice Dentistry | WV2868 | WV | Yes |

## Other

- **Enumeration date:** 09/24/2006
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0132528000 | — | WV |
| 05 | — | 0639214 | — | OH |
| 01 | — | 1000002868 WV | DELTA DENTAL | — |