Northeast Iowa Dental Professional Corporation in Waukon - General Practice
Northeast Iowa Dental Professional Corporation - NPI 1720173990
Northeast Iowa Dental Professional Corporation is a General Practice in Waukon, Iowa. Northeast Iowa Dental Professional Corporation practices all healthcare services and medical treatments related to General Practice. The NPI Number for Northeast Iowa Dental Professional Corporation is 1720173990. The last update date is 2008-12-18.
Northeast Iowa Dental Professional Corporation's current location address is 18 1st Ave Nw, Waukon, Iowa. You can contact this provider via phone number 5635684528 and fax number 5635686144. The mailing address for Northeast Iowa Dental Professional Corporation is 18 1st Ave Nw, Waukon, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Iowa Dental Professional Corporation |
|---|---|
| Address | 18 1st Ave Nw, Waukon, Iowa |
| Phone Number | 5635684528 |
| Fax Number | 5635686144 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Kurth Sue Judy |
| Telephone Number | 5635684528 |
NPI Number Detail
| NPI Number | 1720173990 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2008-12-18 |
Provider Mailing Address Detail
| Address | 18 1st Ave Nw |
|---|---|
| City | Waukon |
| State | Iowa (IA) |
| Post Code | 52172 |
| Phone Number | 5635684528 |
| Fax Number | 5635686144 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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. |
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What is the unique 10-digit identifier code assigned to Northeast Iowa Dental Professional Corporation by the Centers for Medicare & Medicaid Services?
The Northeast Iowa Dental Professional Corporation has been issued the NPI (National Provider Identifier) 1720173990 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Northeast Iowa Dental Professional Corporation?
The Northeast Iowa Dental Professional Corporation is physically situated at 18 1St Ave Nw, in the city of Waukon, state of IA, with the postal code 52172.
What is the Northeast Iowa Dental Professional Corporation's specialty and taxonomy code?
The Northeast Iowa Dental Professional Corporation's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Northeast Iowa Dental Professional Corporation receive its 1720173990 assignment from the Centers for Medicare & Medicaid Services?
The Northeast Iowa Dental Professional Corporation was assigned its 1720173990 by the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the information regarding Northeast Iowa Dental Professional Corporation most recently updated?
The details pertaining to the Northeast Iowa Dental Professional Corporation, including its address, specialty, and other relevant information, were last refreshed on 2008-12-18.