C & O DENTAL ENTERPRISES PLC (NPI# 1558908145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558908145 |
| Entity Type | Organization |
| Organization Name | C & O DENTAL ENTERPRISES PLC |
| Practice Address |
410 N Western St Sanborn IA 51248-1109 |
| Mailing Address |
1905 N 15th St Fort Dodge IA 50501-7604 |
| Practice Telephone | 7129305550 |
| Mailing Telephone | 5155737601 |
| Mailing Fax Number | 5155763962 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Authorized Official Name | JOHN PAUL CLAY (OWNER) |
| Authorized Official Telephone | 5155705695 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | C & O DENTAL ENTERPRISES, PLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 193400000 | 05 | |
| IA | 193400000X | 05 |
| Other Name | Type Code |
|---|---|
| Boelter & Gross | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396212759 | C & O Dental Enterprises Plc | Dentist | 111 W Main St, Laurens, IA 50554-1425 | 2018-10-24 |
| Street Address |
410 N WESTERN ST |
| City | SANBORN |
| State | IA |
| Zip Code | 51248-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568538775 | Terry Leslie Boelter | Dentist | 410 N Western St, Sanborn, IA 51248-1109 | 2006-11-28 |
| 1538398284 | Jamie J. Gross | Dentist | 410 N Western St, Sanborn, IA 51248-1109 | 2009-07-02 |
| 1467582023 | Terry L Boelter Dds PC | Dentist | 410 N Western St, Sanborn, IA 51248-1109 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770755530 | Family Health Chiropractic, P.C. | Chiropractor | 606 Carroll Street, Suite A, Sanborn, IA 51248 | 2008-04-01 |
| 1053458521 | City of Sanborn | Ambulance | 410 East First St., Sanborn, IA 51248 | 2007-01-31 |
| 1144302191 | Sanford Health Network | Clinic/Center | 321 Main St, Sanborn, IA 51248-0400 | 2006-10-19 |
| 1144364761 | Sanborn Chiropractic Clinic PC | Chiropractor | 220 Main Street, Sanborn, IA 51248-0487 | 2007-02-16 |
| 1487625018 | Rodney L Den Hartog | Chiropractor | 220 Main St, Sanborn, IA 51248-0487 | 2006-01-31 |
| 1932193059 | Prairie View | Nursing Facility/Intermediate Care Facility | 610 N Eastern St, Sanborn, IA 51248-1089 | 2005-09-02 |
| 1487715751 | Prairie View Leasing | Assisted Living Facility | 610 N Eastern St, Sanborn, IA 51248-1089 | 2006-12-12 |
| 1922271568 | Stacy Marie Carlin | Chiropractor | 606 Carroll Street, Suite A, Sanborn, IA 51248-5124 | 2008-04-03 |
| 1780982553 | Align Chiropractic PC | Chiropractor | 109 Main St, Sanborn, IA 51248-7727 | 2011-03-03 |
| 1033417803 | Melissa S Rupp | Chiropractor | 109 Main St, Sanborn, IA 51248-7727 | 2011-03-03 |
| Find all providers in zip 51248 | ||||
| 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 | ||||
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| 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.