Provider Demographics
NPI:1518111947
Name:TOMARROWS DENTISTRY TODAY
Entity Type:Organization
Organization Name:TOMARROWS DENTISTRY TODAY
Other - Org Name:TIBURON FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPPOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-932-9413
Mailing Address - Street 1:16919 AUDREY ST
Mailing Address - Street 2:40
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-3187
Mailing Address - Country:US
Mailing Address - Phone:402-932-9413
Mailing Address - Fax:402-505-9704
Practice Address - Street 1:16919 AUDREY ST
Practice Address - Street 2:40
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-3187
Practice Address - Country:US
Practice Address - Phone:402-932-9413
Practice Address - Fax:402-505-9704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE54161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty