Provider Demographics
NPI:1255321659
Name:HIPPENSTEEL, DAVID (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:HIPPENSTEEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 WEST AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-4066
Mailing Address - Country:US
Mailing Address - Phone:931-484-3007
Mailing Address - Fax:931-484-8007
Practice Address - Street 1:1720 WEST AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-4066
Practice Address - Country:US
Practice Address - Phone:931-484-3007
Practice Address - Fax:931-484-8007
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS8197122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist