AMY JEAN KOBLISKA (NPI# 1700306883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700306883 |
| Entity Type | Individual |
| Full Name | AMY JEAN KOBLISKA |
| Credential | DDS |
| Practice Address |
801 Newton Rd Iowa City IA 52246 |
| Mailing Address |
1044 Newton Rd Apt 1 Iowa City IA 52246-2235 |
| Practice Telephone | 3193357499 |
| Mailing Telephone | 6412577037 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS-09439 | IA | Dental Providers |
| Street Address |
801 NEWTON RD |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508960501 | Alberto Gasparoni | Dentist | 801 Newton Rd, Iowa City, IA 52242 | 2006-09-11 |
| 1447869912 | Becky Sue Renneckar | Dental Hygienist | 801 Newton Rd, Iowa City, IA 52242 | 2020-07-30 |
| 1205451531 | Mitchell William Frerichs | Student in an Organized Health Care Education/Training Program | 801 Newton Rd, Iowa City, IA 52242-1001 | 2020-06-12 |
| 1023633351 | Jaden Patrick Holton | Student in an Organized Health Care Education/Training Program | 801 Newton Rd, Iowa City, IA 52242-1001 | 2020-06-12 |
| 1841811189 | Nile Eckermann | Student in an Organized Health Care Education/Training Program | 801 Newton Rd, Iowa City, IA 52242-1001 | 2020-04-28 |
| 1275154601 | Maria Teresa Castro | Student in an Organized Health Care Education/Training Program | 801 Newton Rd, Iowa City, IA 52242-1001 | 2020-04-27 |
| 1346860434 | Jacqueline M Crawford | Student in an Organized Health Care Education/Training Program | 801 Newton Rd, Iowa City, IA 52242 | 2020-04-20 |
| 1124647060 | Anna Loye Stell | Student in an Organized Health Care Education/Training Program | 801 Newton Rd, Iowa City, IA 52242 | 2020-04-10 |
| 1730718537 | Anna Augustine | Student in an Organized Health Care Education/Training Program | 801 Newton Rd, Iowa City, IA 52242-1001 | 2020-04-03 |
| 1659900496 | Alexa Rosenau | Student in an Organized Health Care Education/Training Program | 801 Newton Rd, Iowa City, IA 52242-1010 | 2020-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476573 | Nashika Antionette Tetteh | Registered Nurse | 601 Us-6 W, Iowa City, IA 52246 | 2020-08-05 |
| 1023523636 | Rebeca Marie Maynor | Specialist/Technologist | 2820 Prairie Meadow Dr., Iowa City, IA 52246 | 2017-12-05 |
| 1114436052 | Anna Salino-hugg | Social Worker | 601 Hwy 6. W, Iowa City, IA 52246 | 2017-09-22 |
| 1841718954 | Ashley Kathleen Norwood-strickland | Psychologist | 148 Penfro Dr, Iowa City, IA 52246 | 2017-09-08 |
| 1982156303 | Shilmi Patel | Student in an Organized Health Care Education/Training Program | 601 W Benton St, Iowa City, IA 52246 | 2016-11-02 |
| 1356794358 | Jenna Herrington | Registered Nurse | 601 Us 6, Iowa City, IA 52246 | 2016-07-14 |
| 1972959435 | Deborah Betsworth | Psychologist | Iowa City Va Health Care System, 601 Hwy 6 West, Iowa City, IA 52246 | 2016-05-13 |
| 1831550557 | Kara Joelle Kershner | Specialist/Technologist | 375 Newton Road, Iowa City, IA 52246 | 2016-03-08 |
| 1366819005 | Amanda Miller | Speech-Language Pathologist | 1522 Mall Dr, Iowa City, IA 52246 | 2015-08-28 |
| 1508253519 | Kiara Michelle Agosto- Burgos | Registered Nurse | 601 Hwy 65 W, Iowa City, IA 52246 | 2015-04-17 |
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| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992187488 | Scott Mcnaughton | Dentist | 400 S Clinton St, Iowa City, IA 52240-4105 | 2015-06-22 |
| 1225419591 | Adam Holton | Dentist | 451 Dental Science Bldg, Iowa City, IA 52242-1001 | 2015-06-12 |
| 1013334291 | Omar Mazen Maktabi | Dentist | 2814 Northgate Dr Ste 1, Endodontic Associates of Iowa, Iowa City, IA 52245-9513 | 2014-03-25 |
| 1679903835 | Catherine Carlo | Dentist | 228 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2013-11-25 |
| 1437437449 | Majd S Haddad | Dentist | 737 Kennedy Pkwy, Iowa City, IA 52246-2842 | 2011-07-25 |
| 1992009658 | Dennis Martin Winter | Dentist | 833 River St, Iowa City, IA 52246-2438 | 2011-01-10 |
| 1285948885 | Tracy A D'antonio | Dentist | 229 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2010-08-06 |
| 1366766859 | Karine Tenorio Landim Barizon | Dentist | S229 Dental Science Bldg, Iowa City, IA 52242 | 2010-03-26 |
| 1548582067 | Ilham Talib El Khatib | Dentist | 801 Newton Rd., Dental Science Building, Iowa City, IA 52242 | 2010-02-25 |
| 1912238403 | Savitri Vaseenon | Dentist | S229 Dental Science Building, Iowa City, IA 52242 | 2010-01-22 |
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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.