MEDICARE: DR. STEVEN L LIPTON 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	1223E0200X	Endodontics	2901010764	MI

General Provider Information

NPI Number	:	1689824039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN L LIPTON DDS

Provider Business Mailing Address
First Line	:	7458 FRANKLIN RIDGE LN
Second Line	:
City	:	W BLOOMFIELD
State	:	MI
Zip	:	48322-4125
Country	:	US
Telephone Number	:	248-851-4995
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 ROCHDALE DR S
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2274
Country	:	US
Telephone Number	:	248-652-1020
Fax Number	:

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

Provider Enumeration Date	:	09/23/2008
Last Update Date	:	08/13/2015

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