Provider Demographics
NPI:1477630515
Name:RICHARD TIPERY AKIN DDS MD APC
Entity Type:Organization
Organization Name:RICHARD TIPERY AKIN DDS MD APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:TIPERY
Authorized Official - Last Name:AKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MD
Authorized Official - Phone:225-927-3463
Mailing Address - Street 1:614 CONNELLS PARK LANE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806
Mailing Address - Country:US
Mailing Address - Phone:225-927-3463
Mailing Address - Fax:225-927-8507
Practice Address - Street 1:614 CONNELLS PARK LANE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806
Practice Address - Country:US
Practice Address - Phone:225-927-3463
Practice Address - Fax:225-927-8507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
I24591Medicare UPIN