Dr Clarence Lee Lopp Ii, DDS is a
Dentist - General Practice based in Brookston, Indiana. Dr Clarence Lee Lopp Ii is licensed to practice in Indiana (license number 7630) and his current practice location is
803 S. Prairie St., Brookston, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 563-3636.
NPI number for Dr Clarence Lee Lopp Ii is 1639383698 and his current mailing address is 803 South Prairie Street, P.o. Box 158, Brookston, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639383698.
Healthcare Provider's Profile
| Full Name | Dr Clarence Lee Lopp Ii |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 803 S. Prairie St., Brookston, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639383698
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Clarence Lee Lopp Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639383698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 7630 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clarence Lee Lopp Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Clarence Lee Lopp Ii, DDS
803 South Prairie Street, P.o. Box 158,
Brookston, IN 47923-8410
Ph: (765) 563-3636 | Dr Clarence Lee Lopp Ii, DDS
803 S. Prairie St.,
Brookston, IN 47923-8410
Ph: (765) 563-3636 |
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