Provider Demographics
NPI:1821290891
Name:HIPPLE, THOMAS M (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:M
Last Name:HIPPLE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ROUTE 31 N
Mailing Address - Street 2:SUITE B12
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1600
Mailing Address - Country:US
Mailing Address - Phone:609-730-0220
Mailing Address - Fax:
Practice Address - Street 1:23 ROUTE 31 N
Practice Address - Street 2:SUITE B12
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1600
Practice Address - Country:US
Practice Address - Phone:609-730-0220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI190521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice