CLINTON DENTAL SURGERY CENTER, P.C. (NPI# 1730355033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730355033 |
| Entity Type | Organization |
| Organization Name | CLINTON DENTAL SURGERY CENTER, P.C. |
| Practice Address |
2314 N 2nd St Clinton IA 52732-2434 |
| Practice Telephone | 5632421565 |
| Practice Fax Number | 5632420095 |
| Mailing Telephone | 5632421565 |
| Mailing Fax Number | 5632420095 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | DR. ROBERT M ALT (CORPORATE V.P. AND SEC) |
| Authorized Official Telephone | 5632421565 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
06659 | IA | Ambulatory Health Care Facilities |
| Street Address |
2314 N 2ND ST |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366458051 | Robert Michael Alt | Dentist | 2314 N 2nd St, Clinton, IA 52732-2434 | 2006-08-01 |
| 1306012695 | Valarie Anne Rodgers | Dentist | 2314 N 2nd St, Clinton, IA 52732-2434 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811283302 | Legacy Dental, P.C. | Clinic/Center | 4409 Sw 9th St, Des Moines, IA 50315-3909 | 2011-06-22 |
| 1336328509 | Ames Oral Surgeons, P.C. | Clinic/Center | 1212 Duff Ave, Ames, IA 50010-5467 | 2007-10-24 |
| 1851453369 | Oral & Maxillofacial Surgery Assoc PC | Clinic/Center | 116 E 11th St, Suite 201, Spencer, IA 51301-4364 | 2006-12-14 |
| 1992799811 | Great River Oral and Maxillofacial Surgery PC | Clinic/Center | 100 Bryant St, Dubuque, IA 52003-7405 | 2005-09-07 |
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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.