Healthcare Provider Details

I. General information

NPI: 1477630515
Provider Name (Legal Business Name): RICHARD TIPERY AKIN DDS MD APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 01/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 CONNELLS PARK LANE
BATON ROUGE LA
70806
US

IV. Provider business mailing address

614 CONNELLS PARK LANE
BATON ROUGE LA
70806
US

V. Phone/Fax

Practice location:
  • Phone: 225-927-3463
  • Fax: 225-927-8507
Mailing address:
  • Phone: 225-927-3463
  • Fax: 225-927-8507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD TIPERY AKIN
Title or Position: PRESIDENT
Credential: DDS MD
Phone: 225-927-3463