Provider Demographics
NPI:1467515320
Name:LEPINSKI, ALLEN MICHAEL (DDS,MS)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:MICHAEL
Last Name:LEPINSKI
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-7882
Mailing Address - Country:US
Mailing Address - Phone:715-386-3372
Mailing Address - Fax:715-386-8958
Practice Address - Street 1:1200 CREST VIEW DR
Practice Address - Street 2:SUITE 3
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-9366
Practice Address - Country:US
Practice Address - Phone:715-386-8070
Practice Address - Fax:715-386-8958
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5285-0151223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics