Provider Demographics
NPI:1447789193
Name:KLIPFEL, CHELSEA LYNN (DDS, PLLC)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:LYNN
Last Name:KLIPFEL
Suffix:
Gender:F
Credentials:DDS, PLLC
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:LYNN
Other - Last Name:RICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 E BEECH ST
Mailing Address - Street 2:
Mailing Address - City:FRUITPORT
Mailing Address - State:MI
Mailing Address - Zip Code:49415-9210
Mailing Address - Country:US
Mailing Address - Phone:231-865-6141
Mailing Address - Fax:231-865-6198
Practice Address - Street 1:40 E BEECH ST
Practice Address - Street 2:
Practice Address - City:FRUITPORT
Practice Address - State:MI
Practice Address - Zip Code:49415-9210
Practice Address - Country:US
Practice Address - Phone:231-865-6141
Practice Address - Fax:231-865-6198
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010223071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice