MEDICARE: DR. CLAUDE PIPPO DANIEL JR. DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN010670	GA

General Provider Information

NPI Number	:	1558416875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDE PIPPO DANIEL JR. DDS

Provider Business Mailing Address
First Line	:	10470 VETERANS MEMORIAL HWY
Second Line	:
City	:	LITHIA SPRINGS
State	:	GA
Zip	:	30122-2061
Country	:	US
Telephone Number	:	770-948-2900
Fax Number	:	770-948-2193

Provider Business Practice Location Address
First Line	:	10470 VETERANS MEMORIAL HWY
Second Line	:
City	:	LITHIA SPRINGS
State	:	GA
Zip	:	30122-2061
Country	:	US
Telephone Number	:	770-948-2900
Fax Number	:	770-948-2193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	10/14/2025

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