Healthcare Provider Details

I. General information

NPI: 1013622166
Provider Name (Legal Business Name): LAURA HIPPENSTEEL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1442 W LYNN DR
INDIANAPOLIS IN
46202-2240
US

IV. Provider business mailing address

1442 W LYNN DR
INDIANAPOLIS IN
46202-2240
US

V. Phone/Fax

Practice location:
  • Phone: 317-943-3334
  • Fax:
Mailing address:
  • Phone: 317-943-3334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number12014108A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: