Organization
EAST 53RD STREET DENTAL-3, PC
Active
Other names
Pippin Dental, Pippin Dental & Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER IGOE DDS (OWNER)
(770) 916-5036
Entity
Organization
Contact information
Practice address
3701 S MAIN ST STE A150, ELKHART, IN 46517-3140
(678) 904-5665
(678) 904-5666
Mailing address
210 INTERSTATE NORTH PKWY SE STE 300, ATLANTA, GA 30339-2233
(770) 916-5028
(678) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
03/21/2011
Last updated
04/24/2026
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