| Jason T. Lipscomb D.D.S. P.C. | |
|
200 Executive Center Pkwy Suite 104 Fredericksburg VA 22401-3177 | |
| (540) 373-1641 | |
| Not Available |
| Full Name | Jason T. Lipscomb D.D.S. P.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 Executive Center Pkwy, Fredericksburg, Virginia |
| Authorized Official Name and Position | Jason T. Lipscomb (OWNER) |
| Authorized Official Contact | 5403731641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason T. Lipscomb D.D.S. P.C. 200 Executive Center Pkwy Suite 104 Fredericksburg VA 22401-3177 Ph: (540) 373-1641 | Jason T. Lipscomb D.D.S. P.C. 200 Executive Center Pkwy Suite 104 Fredericksburg VA 22401-3177 Ph: (540) 373-1641 |
| NPI Number | 1891986857 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 05/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891986857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410585 (Virginia) | Primary |
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