Provider Demographics
NPI:1689676918
Name:LIPTON, BARRY E (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:E
Last Name:LIPTON
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 1:11200 SEMINOLE BLVD
Mailing Address - Street 2:STE 108
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-3240
Mailing Address - Country:US
Mailing Address - Phone:727-393-8855
Mailing Address - Fax:727-391-0395
Practice Address - Street 1:11200 SEMINOLE BLVD
Practice Address - Street 2:STE 108
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-3240
Practice Address - Country:US
Practice Address - Phone:727-393-8855
Practice Address - Fax:727-391-0395
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0012523122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist