NPI 1407021678

Purple Hippo Hipolito D.D.S. P.C.

Organisation Exclusive Provider Organization Las Vegas, NV

Practice location

Address: 4333 Las Vegas Blvd N, Las Vegas, NV 89115-0512
Phone: (702) 644-4484
Fax: (702) 643-4384

Authorised official

Name: Ernesto Hipolito
Title: Dentist
Phone: (702) 644-4484

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 4834T (NV)

Other Exclusive Provider Organization providers in Nevada →

Registry record

NPI: 1407021678
Entity type: Organization
NPI issued: 28 Apr 2008
Record last updated: 28 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.