Provider Demographics
NPI:1659483063
Name:LIPKEN, NEIL ALLAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ALLAN
Last Name:LIPKEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1132 S RANGELINE ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032
Mailing Address - Country:US
Mailing Address - Phone:317-848-2055
Mailing Address - Fax:317-848-2055
Practice Address - Street 1:1132 S RANGELINE ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:317-848-2055
Practice Address - Fax:317-848-2055
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN12007487A1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics