NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION (NPI# 1720173990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720173990 |
| Entity Type | Organization |
| Organization Name | NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION |
| Other Organization Name | WAUKON DENTAL |
| Practice Address |
18 1st Ave Nw Waukon IA 52172 |
| Practice Telephone | 5635684528 |
| Practice Fax Number | 5635686144 |
| Mailing Telephone | 5635684528 |
| Mailing Fax Number | 5635686144 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | MRS. JUDY SUE KURTH (OFFICE MANAGER) |
| Authorized Official Telephone | 5635684528 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Waukon Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003919135 | Northeast Iowa Dental Professional Corporation | Dentist | 101 Franklin, Monona, IA 52159 | 2006-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION | 18 St Ave Nw, Waukon, IA 52172 |
| Street Address |
18 1ST AVE NW |
| City | WAUKON |
| State | IA |
| Zip Code | 52172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124121710 | Linda Sue Carstens | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468026 | Amy Christine Pfiffner | Occupational Therapy Assistant | 201 Second Street Sw, Waukon, IA 52172 | 2009-12-08 |
| 1609098185 | Worth Living Inc. | Assisted Living Facility | 209 2nd Ave Sw, Waukon, IA 52172 | 2007-05-03 |
| 1154478857 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 E Main, Suite 102, Waukon, IA 52172 | 2007-01-04 |
| 1659481752 | Cameron Jon Ochsner | Dentist | 22 E Main, Wankon, IA 52172 | 2006-08-30 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| 1265472807 | Gundersen Clinic, Ltd. | Optometrist | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-06-08 |
| 1639156987 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 105 East Main Street, Waukon, IA 52172 | 2005-12-28 |
| 1528058062 | David B Schwartz | Hospitalist | 40 1st St Se, Waukon, IA 52172 | 2005-10-26 |
| 1770755928 | Rtg Medical | General Acute Care Hospital | 606 2nd St Nw, Waukon, IA 52172-1026 | 2008-03-27 |
| 1639171077 | Abcm Corporation | Skilled Nursing Facility | 960 4th St Nw, Waukon, IA 52172-1059 | 2005-08-15 |
| Find all providers in zip 52172 | ||||
| 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 |
|---|---|---|---|---|
| 1124121710 | Linda Sue Carstens | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1295343804 | Gabrielle Genevieve Henry | Dentist | 401 Haganman Ln, Solon, IA 52333-9760 | 2020-07-20 |
| 1942827811 | Kalona Family Dental, Plc | Dentist | 1206 E Ave, Kalona, IA 52247-9767 | 2020-06-26 |
| 1245856582 | Reena Patel | Dentist | 401 S Gear Ave Ste 101, West Burlington, IA 52655-1067 | 2020-06-23 |
| 1679199574 | Flora Yu Harn Yen | Dentist | 3602 Ne Otterview Cir, Ankeny, IA 50021-7773 | 2020-06-17 |
| 1679198030 | Colin Earl Odland | Dentist | 1089 Jordan Creek Pkwy Ste 100, West Des Moines, IA 50266-5829 | 2020-06-11 |
| 1124653860 | Chase Frei | Dentist | 2615 S Center St, Marshalltown, IA 50158-4501 | 2020-03-03 |
| 1649828344 | Stephanie Jo Heyland | Dentist | 4723 Avenue J, Fort Madison, IA 52627-9511 | 2019-08-27 |
| 1952958167 | Skyline Dental Services, LLC | Dentist | 2180 W Kimberly Rd # 8, Davenport, IA 52806-5368 | 2019-08-22 |
| 1386296671 | Dillon Wesley Schloerb | Dentist | 1606 Golden Aspen Dr Ste 110, Ames, IA 50010-8011 | 2019-07-16 |
| 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.