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NPI 1609103803

IndividualActive

Deryl Kipp, D.D.S.

NPI 1609103803 · Oral and Maxillofacial Surgery (Dentist) · Bath, ME

Provider details

NPI number: 1609103803
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: No
License: 2767 (ME)

Practice location

765 High St

Bath, ME 04530-2496

Phone: (207) 443-3220

Fax: (207) 443-5462

More ME providers

Mailing address

765 High St

Bath, ME 04530-2496

Registry dates

Enumerated: 2009-11-09
Last updated: 2009-11-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Deryl Kipp, D.D.S. — NPI 1609103803, Bath, ME | NPI Central