MEDICARE: DR. JOSEPH ANTHONY PIPESH D.D.S.

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	1223G0001X	General Practice Dentistry	2901019819	MI

General Provider Information

NPI Number	:	1427219880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ANTHONY PIPESH D.D.S.

Provider Business Mailing Address
First Line	:	23 KNOLLWOOD PKWY
Second Line	:
City	:	HOLLAND
State	:	MI
Zip	:	49423-9275
Country	:	US
Telephone Number	:	517-852-9150
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 DURKEE ST
Second Line	:
City	:	NASHVILLE
State	:	MI
Zip	:	49073-9570
Country	:	US
Telephone Number	:	517-852-9150
Fax Number	:

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

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	03/27/2011

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