Park View Dental Assoc Pc in Eldridge - Dentist
Park View Dental Assoc Pc - NPI 1114071677
Park View Dental Assoc Pc is a Dentist in Eldridge, Iowa. Park View Dental Assoc Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Park View Dental Assoc Pc is 1114071677. The last update date is 2020-08-22.
Park View Dental Assoc Pc's current location address is 5 A Lincoln Ave, Eldridge, Iowa. You can contact this provider via phone number 5632858566 and fax number 5632858567. The mailing address for Park View Dental Assoc Pc is 5 A Lincoln Ave, Eldridge, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park View Dental Assoc Pc |
|---|---|
| Address | 5 A Lincoln Ave, Eldridge, Iowa |
| Phone Number | 5632858566 |
| Fax Number | 5632858567 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shaw Joan Connie |
| Credentials | DDS |
| Telephone Number | 5632858566 |
NPI Number Detail
| NPI Number | 1114071677 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5 A Lincoln Ave |
|---|---|
| City | Eldridge |
| State | Iowa (IA) |
| Post Code | 527489699 |
| Phone Number | 5632858566 |
| Fax Number | 5632858567 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | IA06190 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Park View Dental Assoc Pc by the Centers for Medicare & Medicaid Services?
The Park View Dental Assoc Pc has been assigned the NPI (National Provider Identifier) 1114071677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Park View Dental Assoc Pc is located?
The Park View Dental Assoc Pc is situated at the following address: 5 A Lincoln Ave, Eldridge, IA, 527489699.
What is Park View Dental Assoc Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Park View Dental Assoc Pc's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114071677 to Park View Dental Assoc Pc?
The Park View Dental Assoc Pc received its 1114071677 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date were the Park View Dental Assoc Pc's details last updated?
The information pertaining to the Park View Dental Assoc Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.