Elite Dental, P.C. in Dyersville - General Practice

Elite Dental, P.C. - NPI 1134248826

Elite Dental, P.C. is a General Practice in Dyersville, Iowa. Elite Dental, P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Elite Dental, P.C. is 1134248826. The last update date is 2020-08-22.

Elite Dental, P.C.'s current location address is 1410 9th St Se, Dyersville, Iowa. You can contact this provider via phone number 5638758386 and fax number 5638758386. The mailing address for Elite Dental, P.C. is 1410 9th St Se, Dyersville, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Elite Dental, P.C.
Address 1410 9th St Se, Dyersville, Iowa
Phone Number 5638758386
Fax Number 5638758386
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS O
Authorized Official Name Koch-Womer Ann Julie
Credentials D.D.S.
Telephone Number 5638758386

NPI Number Detail

NPI Number 1134248826
Provider Enumeration Date 2007-03-27
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1410 9th St Se
City Dyersville
State Iowa (IA)
Post Code 520402335
Phone Number 5638758386
Fax Number 5638758386

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8093
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
1274142 IA --

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FAQs about Elite Dental, P.C.

What is the unique identifier code issued to Elite Dental, P.C. by the Centers for Medicare & Medicaid Services (CMS)?

The Elite Dental, P.C. has been assigned the NPI (National Provider Identifier) 1134248826. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Elite Dental, P.C.?

The Elite Dental, P.C. is physically situated at 1410 9Th St Se, in the city of Dyersville, state of IA, with the postal code 520402335.

What is Elite Dental, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Elite Dental, P.C.'s specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did Elite Dental, P.C. receive its 1134248826 assignment from the Centers for Medicare & Medicaid Services?

The Elite Dental, P.C. was assigned its 1134248826 on 2007-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Elite Dental, P.C. most recently updated or revised?

The information pertaining to Elite Dental, P.C., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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