Provider Demographics
NPI:1992938997
Name:TRIPP, JOHN CALVIN III (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CALVIN
Last Name:TRIPP
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 S CLAIBORNE AVE STE F
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-3340
Mailing Address - Country:US
Mailing Address - Phone:504-309-3077
Mailing Address - Fax:504-369-3515
Practice Address - Street 1:2101 S CLAIBORNE AVE STE F
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-3340
Practice Address - Country:US
Practice Address - Phone:504-309-3077
Practice Address - Fax:504-369-3515
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA6011122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist