Provider Demographics
NPI:1699860072
Name:WILLIAM WIPPLER, D.D.S., A.P.C.
Entity Type:Organization
Organization Name:WILLIAM WIPPLER, D.D.S., A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WIPPLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-962-3319
Mailing Address - Street 1:20932 BROOKHURST STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-6685
Mailing Address - Country:US
Mailing Address - Phone:714-962-3319
Mailing Address - Fax:714-962-0920
Practice Address - Street 1:20932 BROOKHURST STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-6685
Practice Address - Country:US
Practice Address - Phone:714-962-3319
Practice Address - Fax:714-962-0920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA403231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty