Provider Demographics
NPI:1346484946
Name:WIPF, ERIK S (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:S
Last Name:WIPF
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 1:1819 STATE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2449
Mailing Address - Country:US
Mailing Address - Phone:805-569-0716
Mailing Address - Fax:805-569-1626
Practice Address - Street 1:1819 STATE ST
Practice Address - Street 2:SUITE C
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2449
Practice Address - Country:US
Practice Address - Phone:805-569-0716
Practice Address - Fax:805-569-1626
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA441241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice