Provider Demographics
NPI:1689872145
Name:PIEPER, TODD K (DDS)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:K
Last Name:PIEPER
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 1:5386 COX-SMITH RD.
Mailing Address - Street 2:SUITE B
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9289
Mailing Address - Country:US
Mailing Address - Phone:513-229-0499
Mailing Address - Fax:513-229-0496
Practice Address - Street 1:5386 COX-SMITH RD.
Practice Address - Street 2:SUITE B
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9289
Practice Address - Country:US
Practice Address - Phone:513-229-0499
Practice Address - Fax:513-229-0496
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-180361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice