Provider Demographics
NPI:1760918916
Name:PIPHO & GINGRICH, PLLC
Entity Type:Organization
Organization Name:PIPHO & GINGRICH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORIANNE
Authorized Official - Middle Name:VIOLET
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-342-3622
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:DYSART
Mailing Address - State:IA
Mailing Address - Zip Code:52224-0279
Mailing Address - Country:US
Mailing Address - Phone:319-476-4110
Mailing Address - Fax:319-476-4009
Practice Address - Street 1:407 WILSON ST
Practice Address - Street 2:
Practice Address - City:DYSART
Practice Address - State:IA
Practice Address - Zip Code:52224
Practice Address - Country:US
Practice Address - Phone:319-476-4110
Practice Address - Fax:319-476-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty