Provider Demographics
NPI:1619181344
Name:HIPPLER, LINDA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:HIPPLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:HIPPLER
Other - Last Name:ZWISSLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:17750 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3451
Mailing Address - Country:US
Mailing Address - Phone:216-521-3727
Mailing Address - Fax:216-521-1117
Practice Address - Street 1:17750 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3451
Practice Address - Country:US
Practice Address - Phone:216-521-3727
Practice Address - Fax:216-521-1117
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300201051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice