Provider Demographics
NPI:1689894032
Name:STEVEN L. LIPTON DDS, PC
Entity Type:Organization
Organization Name:STEVEN L. LIPTON DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-652-1020
Mailing Address - Street 1:7458 FRANKLIN RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4125
Mailing Address - Country:US
Mailing Address - Phone:248-851-4995
Mailing Address - Fax:
Practice Address - Street 1:111 ROCHDALE DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309
Practice Address - Country:US
Practice Address - Phone:248-652-1020
Practice Address - Fax:248-652-6153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI107641223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIAL8104476OtherBNDD
MI10764OtherMI
MI1517405898OtherADA #