DR. DERYL PALMER KIPP D.D.S.
NPI 1609103803
Dentist - Oral and Maxillofacial Surgery in Bath, ME

Active since November 09, 2009
765 HIGH ST, BATH, ME 04530(207) 443-3220(207) 443-5462 Get Directions Write a Review

NPPES record last updated: November 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Deryl Palmer Kipp D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERYL PALMER KIPP D.D.S. (NPI 1609103803) is an individual oral and maxillofacial surgery provider in Bath, Maine, licensed in Maine (2767) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1609103803
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DERYL PALMER KIPPCredential: D.D.S.
Location Address765 HIGH STBath, ME 04530-2496
Mailing Address765 High StBath, ME 04530-2496 · (207) 443-3220 · Fax (207) 443-5462
Fax(207) 443-5462
Sole ProprietorNo
Enumeration DateNovember 9, 2009
NPI 1609103803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in ME · 2767
Definition
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.
765 HIGH ST, Bath, ME 04530

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
765 HIGH ST
BATH, ME 04530
Family Medicine
765 HIGH ST
BATH, ME 04530
Family Medicine
765 HIGH ST, STE. 4
BATH, ME 04530
Social Worker (Clinical)
765 HIGH ST
BATH, ME 04530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deryl Kipp's NPI number?

The NPI number for Deryl Kipp is 1609103803. It was assigned to this individual provider in the NPPES registry on November 9, 2009.

Where is Deryl Kipp located?

Deryl Kipp practices at 765 High St, Bath, ME 04530. The listed phone number is (207) 443-3220.

What is Deryl Kipp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Deryl Kipp was last updated on November 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.