DR. DERYL PALMER KIPP D.D.S. NPI 1609103803

NPI Information

  • NPI: 1609103803
  • Provider Name: DR. DERYL PALMER KIPP, D.D.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 765 HIGH ST
    BATH, ME
    ZIP 04530
  • Phone: (207) 443-3220

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NPI Details

DR. Deryl Palmer Kipp, D.D.S. is an oral and maxillofacial surgery dentist in Bath, ME. 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. DR. Deryl Palmer Kipp, D.D.S. NPI is 1609103803. 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:

765 HIGH ST
BATH, ME
ZIP 04530-496
Phone: (207) 443-3220
Fax: (207) 443-5462

The enumeration date for this NPI number is 11/9/2009 and was last updated on 11/9/2009.

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
11223S0112XDentistOral and Maxillofacial Surgery2767MAINEYes

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: 11/21/2025

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