Individual
DR. CHARLES WILLIAM HIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2441 21ST ST, U S ARMY DENTAL ACTIVITY, FORT CAMPBELL, KY 42223-5582
(270) 798-8614
(270) 798-8633
Mailing address
2441 21ST ST, U S ARMY DENTAL ACTIVITY, FORT CAMPBELL, KY 42223-5582
(270) 798-8614
(270) 798-8633
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2273
SC
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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