EVAN SHIPP NPI 1023378999

NPI Information

NPI: 1023378999
Provider Name: EVAN SHIPP
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236
Phone: (512) 621-5529
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Evan Shipp is an oral and maxillofacial surgery dentist in Jbsa Lackland, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Evan Shipp NPI is 1023378999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236-638
Phone: (512) 621-5529

The enumeration date for this NPI number is 5/24/2012 and was last updated on 7/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	61852	CALIFORNIA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	35986	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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