FOTENE GENNATOS DDS, PLLC (NPI# 1225599111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225599111 |
| Entity Type | Organization |
| Organization Name | FOTENE GENNATOS DDS, PLLC |
| Practice Address |
415 W 5th St Storm Lake IA 50588-1725 |
| Mailing Address |
931 Wynstone Dr Jefferson SD 57038-6875 |
| Practice Telephone | 7127322277 |
| Mailing Telephone | 4064516174 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | FOTENE GENNATOS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4064516174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
415 W 5TH ST |
| City | STORM LAKE |
| State | IA |
| Zip Code | 50588-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396830410 | Daniel E. Douglas | Dentist | 415 W 5th St, Storm Lake, IA 50588-1725 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327173 | Joanne Alvorez | Social Worker | 728 Erie Street, Storm Lake, IA 50588 | 2020-08-19 |
| 1023481165 | Krauth Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1 Colonial Circle, Storm Lake, IA 50588 | 2015-11-12 |
| 1992129605 | Martin Health Services LLC | Pharmacy | 1229 Lake Ave, Storm Lake, IA 50588 | 2014-02-17 |
| 1487948824 | John Gary Armstrong | Surgery | 210 East 5th St, Storm Lake, IA 50588 | 2011-06-02 |
| 1235447871 | New Directions for Mental Health, LLC | Social Worker | 808 Michigan St., Suite A, Storm Lake, IA 50588 | 2010-09-16 |
| 1659555225 | Hy Vee Inc | Pharmacy | 606 Lake Avenue, Suite A, Storm Lake, IA 50588 | 2007-12-19 |
| 1134311616 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1624 Lake Ave Ste 1, Storm Lake, IA 50588 | 2007-08-17 |
| 1356402754 | Rex Michael Shearer | Dentist | 217 West 6th, Storm Lake, IA 50588 | 2006-12-12 |
| 1639242209 | Gregory G Hansen | Dentist | 217 West 6th Street, Storm Lake, IA 50588 | 2006-11-15 |
| 1174536585 | Rick Alan Martin | Dentist | 720 Tornado Drive, Storm Lake, IA 50588 | 2006-08-15 |
| Find all providers in zip 50588 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253068 | Wright County Family Dental | Clinic/Center | 1403 Central Ave W, Clarion, IA 50525-7707 | 2020-10-23 |
| 1497371397 | Carlisle Family Dentistry Pllc | Clinic/Center | 2800 Norgard Cir Ste 200, Carlisle, IA 50047-8000 | 2020-06-17 |
| 1457996365 | Dentistry for Children of Iowa 2, Pllc | Clinic/Center | 1738 Lininger Ln, North Liberty, IA 52317-2316 | 2019-11-14 |
| 1235784992 | E. Joseph Lenz Dds PC Family Dentistry | Clinic/Center | 890 7th Ave, Marion, IA 52302-5747 | 2019-08-08 |
| 1114490794 | Abbadent Dental LLC | Clinic/Center | 3430 Dodge St Unit 21, Dubuque, IA 52003-5218 | 2019-01-07 |
| 1952819369 | Jared P. Sass D.d.s Plc | Clinic/Center | 6800 Lake Dr Ste 290, West Des Moines, IA 50266-2544 | 2018-01-19 |
| 1114439429 | Stuart Family Dental PC | Clinic/Center | 303 Se 7th Street, Suite D, Stuart, IA 50250 | 2017-10-26 |
| 1881129906 | Indian Hills Community College Dental Hygiene Clinic | Clinic/Center | 525 Grandview Ave, Ottumwa, IA 52501-1359 | 2017-04-26 |
| 1336511120 | Kathryn A. Kell Dds PC | Clinic/Center | 1751 E 54th St, Davenport, IA 52807-2769 | 2015-10-20 |
| 1164807145 | Bradley Scott Williams D.d.s. | Clinic/Center | 205 S 16th St, Clarinda, IA 51632-2107 | 2015-07-20 |
| Find all providers with the same taxonomy | ||||
| City | STORM LAKE |
| Zip Code | 50588 |
Please comment or provide details below to improve the information on FOTENE GENNATOS DDS, PLLC.
| 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.