Provider Demographics
NPI:1245429299
Name:LIPPINCOTT, JOHN SESSIONS (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SESSIONS
Last Name:LIPPINCOTT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1642 E 56TH ST
Mailing Address - Street 2:#701
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1952
Mailing Address - Country:US
Mailing Address - Phone:630-881-5533
Mailing Address - Fax:
Practice Address - Street 1:1642 E 56TH ST
Practice Address - Street 2:#701
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1952
Practice Address - Country:US
Practice Address - Phone:630-881-5533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice