Individual
DR. DIETER WERNER LEIPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
450 W CHEW ST, SUITE 201, ALLENTOWN, PA 18102-3434
(610) 776-4802
(610) 606-4473
Mailing address
450 W CHEW ST, SUITE 201, ALLENTOWN, PA 18102-3434
(610) 776-4802
(610) 606-4473
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS022210L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03271101
CAPITAL BC
PA
01
—
145331
BLUE SHIELD/UNITED CONCOR
PA
01
—
990939
KEYSTONE HP CENTRAL
PA
Enumeration date
12/29/2005
Last updated
07/08/2007
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