Healthcare Provider Details

I. General information

NPI: 1245152396
Provider Name (Legal Business Name): CHRISTOPHER T. LIPPOLD, DDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9592 N MCGEE ST
KANSAS CITY MO
64155-8100
US

IV. Provider business mailing address

5121 W 99TH ST
OVERLAND PARK KS
66207-3103
US

V. Phone/Fax

Practice location:
  • Phone: 816-680-6905
  • Fax:
Mailing address:
  • Phone: 816-868-0909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER LIPPOLD
Title or Position: OWNER
Credential: DDS
Phone: 816-868-0909