| Timothy R Liptak Dmd & Associates Llc | |
|
114 1/2 Ashley Ave Charleston SC 29401-1143 | |
| (843) 577-6376 | |
| (843) 722-1653 |
| Full Name | Timothy R Liptak Dmd & Associates Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 114 1/2 Ashley Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Timothy Robert Liptak (OWNER) |
| Authorized Official Contact | 8435776376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy R Liptak Dmd & Associates Llc 114 1/2 Ashley Ave Charleston SC 29401-1143 Ph: (843) 577-6376 | Timothy R Liptak Dmd & Associates Llc 114 1/2 Ashley Ave Charleston SC 29401-1143 Ph: (843) 577-6376 |
| NPI Number | 1275799546 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275799546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4299 (South Carolina) | Primary |
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