Individual
DR. JEFFREY MARK LIPPITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5461 BIG TYLER RD, CROSS LANES, WV 25313-1133
(304) 776-1102
Mailing address
5461 BIG TYLER RD, CROSS LANES, WV 25313-1133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2664
WV
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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