Provider Demographics
NPI:1205026564
Name:RIVER HEIGHTS ENDODONTICS
Entity Type:Organization
Organization Name:RIVER HEIGHTS ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:LEPINSKI
Authorized Official - Last Name:M
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MS
Authorized Official - Phone:717-386-8070
Mailing Address - Street 1:1200 CRESTVIEW DR
Mailing Address - Street 2:SUITE3
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-9366
Mailing Address - Country:US
Mailing Address - Phone:715-386-8070
Mailing Address - Fax:715-386-8958
Practice Address - Street 1:1200 CRESTVIEW DR
Practice Address - Street 2:SUITE3
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-9366
Practice Address - Country:US
Practice Address - Phone:715-386-8070
Practice Address - Fax:715-386-8958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty