Active NPIIndividual provider

Dr. Deryl P Kipp, DDS

Dentist, Oral and Maxillofacial Surgery in Bath, Maine

NPI Number1609103803
Practice location
765 High St, Bath, ME 04530-2496
Fax
207-443-5462
Last updated
November 9, 2009

Deryl Palmer Kipp is a Dentist, Oral and Maxillofacial Surgery based in Bath, ME. Deryl Palmer Kipp practices in Bath, ME and has the professional credentials of DDS. The NPI Number for Deryl Palmer Kipp is 1609103803 and holds a License No. 2767 (ME). The current practice location address for Deryl Palmer Kipp is 765 High St, Bath, ME 04530-2496 and can be reached out via phone at 207-443-3220 and via fax at 207-443-5462.

Provider Profile Details

NPI Number
1609103803
Provider Name
Deryl Palmer Kipp
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
765 High St, Bath, ME 04530-2496
Phone Number
207-443-3220
Fax Number
207-443-5462
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2009
Last Update Date
November 9, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
765 High St
Bath, ME 04530-2496
City
Bath
State
Maine
Zip
04530-2496
Phone Number
207-443-3220
Fax Number
207-443-5462
Bath, ME 04530Get directions →

Provider Business Mailing Address Details

Address
765 High St
Bath, ME 04530-2496
City
Bath
State
ME
Zip
04530-2496
Phone Number
207-443-3220
Fax Number
207-443-5462

License Information

License Number
2767
License State
ME
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Deryl P Kipp, DDS?

The NPI number of Dr. Deryl P Kipp, DDS is 1609103803. It was assigned on November 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Deryl P Kipp, DDS?

Dr. Deryl P Kipp, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in ME under license number 2767.

Where does Dr. Deryl P Kipp, DDS practice?

The practice location is 765 High St, Bath, ME 04530-2496. The office can be reached at 207-443-3220 (phone) or 207-443-5462 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609103803 directly on the NPPES registry website.

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