IOWA PEDIATRIC DENTAL CENTER II LLC


Address: 5350 Kirkwood Blvd Sw, Suite 700, Cedar Rapids, IA 52404-5233
Phone: 3193660600

IOWA PEDIATRIC DENTAL CENTER II LLC (NPI# 1245656800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245656800
Entity Type Organization
Organization Name IOWA PEDIATRIC DENTAL CENTER II LLC
Practice Address 5350 Kirkwood Blvd Sw
Suite 700
Cedar Rapids
IA 52404-5233
Practice Telephone 3193660600
Practice Fax Number 3193661316
Mailing Telephone 3193660600
Mailing Fax Number 3193661316
Enumeration Date 2014-03-06
Last Update Date 2014-03-06
Authorized Official Name DR. DONALD CRAIG PETERSON JR. (DOCTOR/OWNER)
Authorized Official Telephone 3193660600
Authorized Official Credential D.D.S.
Is Organization Subpart Y
Parent Organization Name IOWA PEDIATRIC DENTAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
08193 IA Dental Providers

Office Location

Street Address 5350 KIRKWOOD BLVD SW
SUITE 700
City CEDAR RAPIDS
State IA
Zip Code 52404-5233

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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497067698 Sarah Elizabeth Swenson Dentist 1962 1st Avenue Ne, Cedar Rapids, IA 52402-5334 2010-07-06
1568476604 Erik T Balster Dentist 4207 Glass Rd. Ne Suite 2, Cedar Rapids, IA 52402 2006-07-27
1780664870 Curtis D Livengood Dentist 2727 First Ave Se, Cedar Rapids, IA 52402 2006-01-17
1285618181 Michael Louis Walker Dentist 1962 First Ave Ne, Cedar Rapids, IA 52402 2005-12-05
1043755408 Cedar Rapids Pediatric Dentistry LLC Dentist 1962 1st Ave Ne, Cedar Rapids Pediatric Dentistry, Cedar Rapids, IA 52402-5330 2016-12-21
1952789448 Ursula Anne Diehl Dentist 1962 1st Ave Ne, Cedar Rapids, IA 52402-5330 2015-05-15
1598922247 Balster Pediatric Dentistry, PC Dentist 4207 Glass Rd Ne, Ste 2, Cedar Rapids, IA 52402-2538 2008-05-20
1437316353 Michael L. Walker, Dds, Ms Dentist 1962 1st Ave Ne, Cedar Rapids, IA 52402-5330 2008-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528681897 The Children's Dental Center, Pllc Dentist 2761 Oakdale Blvd Ste 4, Coralville, IA 52241-9754 2020-05-21
1659934701 Grimes Pediatric Dentistry P C Dentist 1551 Se 3rd St Ste 100, Grimes, IA 50111-8861 2019-04-15
1215316633 Kaitlin Joy Hoogeveen Dentist 164 S Main Ave, Sioux Center, IA 51250-1536 2015-05-19
1760801062 Diana Pelzer Dentist 1250 Se University Ave, Waukee, IA 50263-8831 2014-04-15
1528483716 Peter Joseph Stanley Dentist 201 Dental Science Bldg S., Iowa City, IA 52242-1001 2014-02-24
1821433160 Nicholas Wade Barnard Dentist 4090 Westown Pkwy Ste B1, West Des Moines, IA 50266 2013-04-30
1962745471 Samuel Christensen Dentist 2575 N Ankeny Blvd Ste 205, Ankeny, IA 50023-4710 2013-04-03
1477818326 Julie Ann Smith Dentist 800 E 1st St Ste 2800, Ankeny, IA 50021-2077 2012-07-06
1043507890 Molly Bremen Dentist 7600 Fleur Dr, Des Moines, IA 50321-3111 2011-06-30
1154557197 Rachael Anne Revell Dentist 5950 Village View Dr, Suite 200, West Des Moines, IA 50266-3844 2009-06-04
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Competitor

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City CEDAR RAPIDS
Zip Code 52404

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Dataset Information

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.

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