Organization
DR. DAVE L. HIPPENSTEEL DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVE LESLIE HIPPENSTEEL DMD (OWNER)
(215) 272-9621
Entity
Organization
Contact information
Practice address
1754 MADISON ST, SUITE 4, CLARKSVILLE, TN 37043-2923
(931) 647-0838
Mailing address
4849 THOMASVILLE RD, CHAPMANSBORO, TN 37035-5005
(215) 272-9621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS8197
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
TAXONOMY
TN
Enumeration date
01/19/2015
Last updated
01/19/2015
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