Provider Demographics
NPI:1326038498
Name:PILIPOVICH, STEVEN M (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:PILIPOVICH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-3724
Mailing Address - Country:US
Mailing Address - Phone:812-234-7322
Mailing Address - Fax:812-234-2065
Practice Address - Street 1:800 POPLAR ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-3724
Practice Address - Country:US
Practice Address - Phone:812-234-7322
Practice Address - Fax:812-234-2065
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120091421223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry