Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1023038205 Deactivated / Inactive NPI Male Practitioner

Dr. Fred Lipp , DDS

Dentist - General Practice • Lynbrook, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fred Lipp has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2006
NPI Deactivation Date September 07, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Lipp, DDS was a registered Dentist - General Practice practicing in Lynbrook, NY. Throughout an active medical career spanning 15 years, Dr. Lipp provided care at the practice location at 89 ATLANTIC AVE # A until profile deactivation on 2021-09-07.

Practice Location & Contact Primary Location

Practice Address

89 Atlantic Ave # A

Lynbrook, NY 115633446

Telephone 5165991027
Fax 5162392757

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lynbrook, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
23 Specialists

Practicing in Lynbrook, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 024091

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 07, 2021

Record deactivated on September 07, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 89 ATLANTIC AVE # A, LYNBROOK, NY 115633446 (Tel: 5165991027)

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Updated Business Mailing Address July 08, 2007

Registered at 89 A ATLANTIC AVE, LYNBROOK, NY 11563 (Tel: 5165991027)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FRED LIPP, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #024091 in NY)

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Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023038205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: July 08, 2007
Deactivation Date: September 07, 2021

Mailing Address

89 A Atlantic Ave

Lynbrook, NY 11563

Phone: 5165991027

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.