Olympic Dentistry, Plc in Waterloo - Dental
Olympic Dentistry, Plc - NPI 1104036755
Olympic Dentistry, Plc is a Dental in Waterloo, Iowa. Olympic Dentistry, Plc practices all healthcare services and medical treatments related to Dental. The NPI Number for Olympic Dentistry, Plc is 1104036755. The last update date is 2020-08-22.
Olympic Dentistry, Plc's current location address is 208 Olympic Drive, Waterloo, Iowa. You can contact this provider via phone number 3192343233 and fax number 3192343879. The mailing address for Olympic Dentistry, Plc is 208 Olympic Drive, Waterloo, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Olympic Dentistry, Plc |
---|---|
Address | 208 Olympic Drive, Waterloo, Iowa |
Phone Number | 3192343233 |
Fax Number | 3192343879 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Ludens Eugene Brent |
Credentials | D.D.S. |
Telephone Number | 3192343233 |
NPI Number Detail
NPI Number | 1104036755 |
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Provider Enumeration Date | 2007-05-23 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 208 Olympic Drive |
---|---|
City | Waterloo |
State | Iowa (IA) |
Post Code | 507015240 |
Phone Number | 3192343233 |
Fax Number | 3192343879 |
Provider's Primary Taxonomy Detail
Speciality | Dental |
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Taxonomy | 261Qd0000X |
Licence No | 7466 |
Definition: Provides general and specialized dental care and oral surgery. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Olympic Dentistry, Plc?
The Olympic Dentistry, Plc has been issued the NPI (National Provider Identifier) 1104036755 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Olympic Dentistry, Plc is physically located?
The Olympic Dentistry, Plc is physically situated at the following address: 208 Olympic Drive, Waterloo, IA, 507015240.
What is Olympic Dentistry, Plc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Olympic Dentistry, Plc's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
On what date did the Olympic Dentistry, Plc receive the assignment of its 1104036755 from the Centers for Medicare & Medicaid Services?
The Olympic Dentistry, Plc was issued its 1104036755 by the Centers for Medicare & Medicaid Services on 2007-05-23.
When was the information related to Olympic Dentistry, Plc most recently updated or refreshed?
The details pertaining to the Olympic Dentistry, Plc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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