Provider Demographics
NPI:1770740169
Name:LINDA M. HIPPLER, DDS. INC.
Entity type:Organization
Organization Name:LINDA M. HIPPLER, DDS. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HIPPLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-521-3727
Mailing Address - Street 1:17750 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3451
Mailing Address - Country:US
Mailing Address - Phone:216-521-3727
Mailing Address - Fax:
Practice Address - Street 1:17750 DETROIT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3451
Practice Address - Country:US
Practice Address - Phone:216-521-3727
Practice Address - Fax:216-521-1117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH201051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty