National Provider Identifier

Ellen C Lippa, DDS

Ellen C Lippa, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Buffalo, NY and a listed phone number of (716) 636-8686.

NPI 1417171042Buffalo, NYGeneral Practice Dentistry

Profile Overview

NPI
1417171042
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
April 13, 2007
Last Updated
July 08, 2007

Practice Location

  • 2121 Main St
  • Suite 310
  • Buffalo, NY 14214-2693

Phone: (716) 636-8686

Mailing Address

  • 10 Sherrelwood Ct
  • Williamsville, NY 14221-1755

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1417171042
Entity Type
Individual
Last Name
Lippa
First Name
Ellen
Middle Name
C
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
10 Sherrelwood Ct
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-1755
Mailing Country
US
Mailing Phone
(716) 688-2496
Practice Street Address
2121 Main St
Practice Address Line 2
Suite 310
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2693
Practice Country
US
Practice Phone
(716) 636-8686
Practice Fax
(716) 832-0683
Enumeration Date
April 13, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)