# JASON T LIPSCOMB DDS P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jason T. Lipscomb D.D.S. P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891986857
- **Authorized official:** DR. JASON T. LIPSCOMB D.D.S. (OWNER)
- **Authorized official phone:** (540) 373-1641

## Contact information

- **Practice address:** 200 EXECUTIVE CENTER PKWY, SUITE 104, FREDERICKSBURG, VA 22401-3177
- **Practice address phone:** (540) 373-1641
- **Mailing address:** 200 EXECUTIVE CENTER PKWY, SUITE 104, FREDERICKSBURG, VA 22401-3177
- **Mailing address phone:** (540) 373-1641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410585 | VA | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 05/08/2012