Individual
DR. JASON A LIPOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10510 MEETING ST UNIT 101, PROSPECT, KY 40059-5516
(847) 502-7574
(502) 230-2131
Mailing address
10510 MEETING ST UNIT 101, PROSPECT, KY 40059-5516
(847) 502-7574
(502) 230-2131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19026157
IL
1223P0221X
Pediatric Dentistry
Primary
8263
KY
1223P0221X
Pediatric Dentistry
DN18772
FL
Other
Enumeration date
05/18/2006
Last updated
09/10/2025
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