BRIDGE CITY DENTAL, PC (NPI# 1073122354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073122354 |
| Entity Type | Organization |
| Organization Name | BRIDGE CITY DENTAL, PC |
| Practice Address |
2427 Northgate St Ottumwa IA 52501-1144 |
| Practice Telephone | 6416844889 |
| Mailing Telephone | 6416844889 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | ERIC CHAD DE BOEF (PRESIDENT) |
| Authorized Official Telephone | 6416844889 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2427 NORTHGATE ST |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013031863 | Thomas Brian Rundle | Dentist | 2427 Northgate St, Ottumwa, IA 52501-1117 | 2007-03-19 |
| 1598373474 | Samatha Leah Hopkins | Dentist | 2427 Northgate St, Ottumwa, IA 52501-1144 | 2020-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013031863 | Thomas Brian Rundle | Dentist | 2427 Northgate St, Ottumwa, IA 52501-1117 | 2007-03-19 |
| 1689748071 | George J Evans | Dentist | 740 East Pennsylvania Avenue, Suite 2, Ottumwa, IA 52501-2100 | 2006-11-20 |
| 1174602759 | Steven Wetrich | Dentist | 343 N Court Street, Ottumwa, IA 52501 | 2006-11-03 |
| 1134235492 | Thomas C Williamson | Dentist | 1112 N Van Buren Ave, Ottumwa, IA 52501-6416 | 2006-08-21 |
| 1598373474 | Samatha Leah Hopkins | Dentist | 2427 Northgate St, Ottumwa, IA 52501-1144 | 2020-07-16 |
| 1316591738 | Kyle Nicholson | Dentist | 201 S Market St, Ottumwa, IA 52501-2924 | 2019-07-25 |
| 1538645163 | Jessica Williams | Dentist | 201 S Market St, Ottumwa, IA 52501-2946 | 2018-07-17 |
| 1184132995 | Aspen Dental Pop Ottumwa PC | Dentist | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2018-01-15 |
| 1649525981 | Joseph Dennis Dougherty | Dentist | 201 S Market St, Ottumwa, IA 52501-2924 | 2012-07-23 |
| 1003171497 | Kelly Michael Huston | Dentist | 415 E Main St, Ottumwa, IA 52501-3027 | 2012-07-11 |
| Find all providers in OTTUMWA | ||||
Please comment or provide details below to improve the information on BRIDGE CITY DENTAL, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.