Healthcare Provider Details

I. General information

NPI: 1245208347
Provider Name (Legal Business Name): JOHN L. LIPANI DMD AND DAVID A. LIPANI DMD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 ROUTE 202/206
BRIDGEWATER NJ
08807-1746
US

IV. Provider business mailing address

720 ROUTE 202/206
BRIDGEWATER NJ
08807-1746
US

V. Phone/Fax

Practice location:
  • Phone: 908-722-8383
  • Fax:
Mailing address:
  • Phone: 908-722-8383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number8147
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number20951
License Number StateNJ

VIII. Authorized Official

Name: DR. DAVID A. LIPANI
Title or Position: PARTNER
Credential: DMD
Phone: 908-722-8383