MEDICARE: DR. DAVID LAWRENCE RIPPLINGER DDS

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	122300000X	Dentist	D-3815	ID

General Provider Information

NPI Number	:	1588667240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID LAWRENCE RIPPLINGER DDS

Provider Business Mailing Address
First Line	:	10022 JORDAN LEE ST
Second Line	:	STE 101
City	:	NAMPA
State	:	ID
Zip	:	83687
Country	:	US
Telephone Number	:	208-614-0067
Fax Number	:	208-615-2555

Provider Business Practice Location Address
First Line	:	10022 JORDAN LEE ST
Second Line	:	STE 101
City	:	NAMPA
State	:	ID
Zip	:	83687
Country	:	US
Telephone Number	:	208-614-0067
Fax Number	:	208-615-2555

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/23/2025

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