| Pipkin Dental | |
|
13675 Niabi Rd Ste. 3 Apple Valley CA 92308-6516 | |
| (760) 961-0050 | |
| (760) 961-0035 |
| Full Name | Pipkin Dental |
|---|---|
| Speciality | Dentist |
| Location | 13675 Niabi Rd, Apple Valley, California |
| Authorized Official Name and Position | Marifi Maghari Pipkin (PRESIDENT) |
| Authorized Official Contact | 7609610050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pipkin Dental Po Box 3884 Apple Valley CA 92307-0076 Ph: (760) 961-0050 | Pipkin Dental 13675 Niabi Rd Ste. 3 Apple Valley CA 92308-6516 Ph: (760) 961-0050 |
| NPI Number | 1386883353 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 06/01/2010 |
| Medicare PECOS PAC ID | 6709218175 |
|---|---|
| Medicare Enrollment ID | O20191125000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386883353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52084 (California) | Primary |
| Provider Name | Marifi Maghari Pipkin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952471930 PECOS PAC ID: 7517399983 Enrollment ID: I20191125000413 |
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