Individual
DR. CHRIS LIPPOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4843 S 24TH ST, OMAHA, NE 68107-2704
(402) 731-0388
Mailing address
4843 S 24TH ST, OMAHA, NE 68107-2704
(402) 731-0388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5416
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0560516
—
IA
Enumeration date
12/06/2006
Last updated
10/30/2015
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