Provider Demographics
NPI:1588667240
Name:RIPPLINGER, DAVID LAWRENCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LAWRENCE
Last Name:RIPPLINGER
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 1:7421 W VICTORY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-5106
Mailing Address - Country:US
Mailing Address - Phone:208-402-1040
Mailing Address - Fax:866-324-2220
Practice Address - Street 1:7421 W VICTORY RD STE 100
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-5106
Practice Address - Country:US
Practice Address - Phone:208-402-1040
Practice Address - Fax:866-324-2220
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD-3815122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist