MISSOURI VALLEY DENTAL GROUP, LLC (NPI# 1073704359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073704359 |
| Entity Type | Organization |
| Organization Name | MISSOURI VALLEY DENTAL GROUP, LLC |
| Practice Address |
214 E Erie St Missouri Valley IA 51555-1533 |
| Practice Telephone | 7126424136 |
| Practice Fax Number | 7126423664 |
| Mailing Telephone | 7126424136 |
| Mailing Fax Number | 7126423664 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | JEAN KERGER (CORPORATION MANAGER) |
| Authorized Official Telephone | 7126424136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
07421 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0492033 | 05 | |
| IA | 2152637 | 05 | |
| IA | 5264622 | 05 | |
| IA | 6060053 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407391907 | Missouri Valley Dental Group, LLC | Dentist | 4620 S 25th St, Omaha, NE 68107-1764 | 2016-12-20 |
| 1649650052 | Missouri Valley Dental Group, LLC | Clinic/Center | 216 Enterprise Dr, Suite #3, Gretna, NE 68028-7999 | 2015-06-02 |
| 1437467628 | Missouri Valley Dental Group, LLC | Dentist | 11110 Fort St Ste 106&107, Omaha, NE 68164-2183 | 2010-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MISSOURI VALLEY DENTAL GROUP, LLC | 214 East Erie Street, Missouri Valley, IA 51579 |
| Street Address |
214 E ERIE ST |
| City | MISSOURI VALLEY |
| State | IA |
| Zip Code | 51555-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164513545 | Insook Patty Yang | Dentist | 214 E Erie St, Missouri Valley, IA 51555-1533 | 2006-09-28 |
| 1285250050 | Leah Kreifels | Dentist | 214 E Erie St, Missouri Valley, IA 51555-1588 | 2020-06-17 |
| 1538226055 | Missouri Valley Dental Group LLC | Dentist | 214 E Erie St, Missouri Valley, IA 51555-1533 | 2007-01-03 |
| 1679664049 | Michael Kenneth Macaitis | Dentist | 214 E Erie St, Missouri Valley, IA 51555-1533 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619525433 | Adam Dollen | Counselor | 421 E Erie St, Missouri Valley, IA 51555 | 2019-08-27 |
| 1952846321 | Swfac Plc | Podiatrist | 631 N. 8th St., Missouri Valley, IA 51555 | 2016-12-21 |
| 1427065614 | Rebecca Eilers | Social Worker | 631 North 8th Street, Missouri Valley, IA 51555 | 2006-08-01 |
| 1104259589 | Amanda Kay Bogard | Nurse Practitioner | 631 N 8th St, Missouri Valley, IA 51555 | 2013-08-20 |
| 1245363654 | Adult & Pediatric Urology PC | Urology | 631 N 8th St, Missouri Valley, IA 51555 | 2007-03-14 |
| 1508964123 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2006-09-20 |
| 1912390725 | Andrea Schultes | Physical Therapist | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2015-03-18 |
| 1124419130 | Grant Schultes | Physical Therapist | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2015-02-12 |
| 1407168180 | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2010-07-09 |
| 1043356108 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | Emergency Medicine | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2007-01-29 |
| Find all providers in zip 51555 | ||||
| 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 |
|---|---|---|---|---|
| 1275682072 | Jeffrey L Walls | Dentist | 413 E Erie St, Missouri Valley, IA 51555-1644 | 2007-01-09 |
| 1164513545 | Insook Patty Yang | Dentist | 214 E Erie St, Missouri Valley, IA 51555-1533 | 2006-09-28 |
| 1922588250 | Walls Family Dentistry | Dentist | 413 E Erie St, Missouri Valley, IA 51555-1644 | 2018-08-16 |
| 1932621737 | Alexander Walls | Dentist | 413 E Erie St, Missouri Valley, IA 51555-1644 | 2017-07-13 |
| 1538226055 | Missouri Valley Dental Group LLC | Dentist | 214 E Erie St, Missouri Valley, IA 51555-1533 | 2007-01-03 |
| 1679664049 | Michael Kenneth Macaitis | Dentist | 214 E Erie St, Missouri Valley, IA 51555-1533 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1295343804 | Gabrielle Genevieve Henry | Dentist | 401 Haganman Ln, Solon, IA 52333-9760 | 2020-07-20 |
| 1942827811 | Kalona Family Dental, Plc | Dentist | 1206 E Ave, Kalona, IA 52247-9767 | 2020-06-26 |
| 1245856582 | Reena Patel | Dentist | 401 S Gear Ave Ste 101, West Burlington, IA 52655-1067 | 2020-06-23 |
| 1679199574 | Flora Yu Harn Yen | Dentist | 3602 Ne Otterview Cir, Ankeny, IA 50021-7773 | 2020-06-17 |
| 1679198030 | Colin Earl Odland | Dentist | 1089 Jordan Creek Pkwy Ste 100, West Des Moines, IA 50266-5829 | 2020-06-11 |
| 1124653860 | Chase Frei | Dentist | 2615 S Center St, Marshalltown, IA 50158-4501 | 2020-03-03 |
| 1649828344 | Stephanie Jo Heyland | Dentist | 4723 Avenue J, Fort Madison, IA 52627-9511 | 2019-08-27 |
| 1952958167 | Skyline Dental Services, LLC | Dentist | 2180 W Kimberly Rd # 8, Davenport, IA 52806-5368 | 2019-08-22 |
| 1386296671 | Dillon Wesley Schloerb | Dentist | 1606 Golden Aspen Dr Ste 110, Ames, IA 50010-8011 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | MISSOURI VALLEY |
| Zip Code | 51555 |
Please comment or provide details below to improve the information on MISSOURI VALLEY DENTAL GROUP, LLC.
| 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.