Derald Dean Dosland in Clinton - General Practice

Derald Dean Dosland - NPI 1164596953

Derald Dean Dosland is a General Practice in Clinton, Iowa. Derald Dean Dosland practices all healthcare services and medical treatments related to General Practice. The NPI Number for Derald Dean Dosland is 1164596953. The last update date is 2007-07-08.

Derald Dean Dosland's current location address is 400 S 2nd St, Clinton, Iowa. You can contact this provider via phone number 5632436950 and fax number 5632432648. The mailing address for Derald Dean Dosland is 400 S 2nd St, Clinton, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Derald Dean Dosland
Address 400 S 2nd St, Clinton, Iowa
Phone Number 5632436950
Fax Number 5632432648
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1164596953
Provider Enumeration Date 2006-11-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 400 S 2nd St
City Clinton
State Iowa (IA)
Post Code 527324213
Phone Number 5632436950
Fax Number 5632432648

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5818
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
845565 UNITED CONCORDIA

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FAQs about Derald Dean Dosland

What is the Derald Dean Dosland's 1164596953?

The Derald Dean Dosland's NPI (National Provider Identifier) Number is 1164596953. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Derald Dean Dosland's physical address?

The Derald Dean Dosland is physically located at 400 S 2Nd St, in the city of Clinton, IA, with the postal code 527324213.

What is Derald Dean Dosland's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Derald Dean Dosland is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1164596953 to Derald Dean Dosland?

The Centers for Medicare & Medicaid Services originally issued the 1164596953 to Derald Dean Dosland on 2006-11-20.

As of what date was the information regarding Derald Dean Dosland, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Derald Dean Dosland, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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