ASPEN DENTAL POP OTTUMWA PC (NPI# 1184132995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184132995 |
| Entity Type | Organization |
| Organization Name | ASPEN DENTAL POP OTTUMWA PC |
| Practice Address |
1255 Theatre Dr Ottumwa IA 52501-3772 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 6419543390 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | JOSEPH TESENE (OWNER) |
| Authorized Official Telephone | 6419543390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1255 THEATRE DR |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-3772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942441423 | Brooke E. Nichols | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2009-03-13 |
| 1801417449 | Ottumwa Health Group LLC | Clinic/Center | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2020-05-06 |
| 1265051239 | Stephanie Merrill | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2020-04-10 |
| 1649794561 | Malerie Plank | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2017-08-02 |
| 1154842482 | Maressa Ann Mistretta | Dentist | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2017-06-27 |
| 1386095297 | Alindsey J Kramer | Registered Nurse | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2016-06-22 |
| 1952712499 | Kyle P Compaan | Nurse Practitioner | 1255 Theatre Dr, B, Ottumwa, IA 52501 | 2014-05-19 |
| 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 |
| 1073122354 | Bridge City Dental, PC | Dentist | 2427 Northgate St, Ottumwa, IA 52501-1144 | 2020-07-23 |
| 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 |
| 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 ASPEN DENTAL POP OTTUMWA 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.