DR. LEE ANTHONY TAITO (NPI# 1740339860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740339860 |
| Entity Type | Individual |
| Full Name | DR. LEE ANTHONY TAITO |
| Credential | DMD |
| Practice Address |
3301 Highway 71 South Suite 4 Spirit Lake IA 51360-7634 |
| Practice Telephone | 7123364011 |
| Practice Fax Number | 7123364012 |
| Mailing Telephone | 7123364011 |
| Mailing Fax Number | 7123364012 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901017085 | MI | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
09061 | IA | Dental Providers |
| Street Address |
3301 HIGHWAY 71 SOUTH SUITE 4 |
| City | SPIRIT LAKE |
| State | IA |
| Zip Code | 51360-7634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558904417 | Lakes Regional Healthcare | Clinic/Center | 2408 Zenith Avenue, Suite E, Spirit Lake, IA 51360 | 2019-10-23 |
| 1831758002 | Lakes Counseling Pllc | Social Worker | 507 18th Street Suite A, Spirit Lake, IA 51360 | 2019-06-11 |
| 1760979652 | Leah Anderson | Social Worker | 1401 Hill Ave, Spirit Lake, IA 51360 | 2018-04-17 |
| 1265891394 | Christensen - Bieri of Spirit Lake, D.d.s., P.C. | Dentist | 1724 Hill Ave, Suite 100, Spirit Lake, IA 51360 | 2016-02-17 |
| 1548532971 | Curtis Carl Fredrickson | Psychiatry & Neurology | 15535 Landings Ave., Spirit Lake, IA 51360 | 2012-02-01 |
| 1699076620 | Daniel Gigstad | Counselor | 3717 Keokuk Ave, Spirit Lake, IA 51360 | 2010-11-08 |
| 1841517448 | Jason Hamm Dcpc | Chiropractor | 1330 Lake St., Spirit Lake, IA 51360 | 2010-04-23 |
| 1811132822 | Russell Jon Sweet | Hearing Aid Equipment | 1040 Bridgewater Drive, Spirit Lake, IA 51360 | 2008-12-04 |
| 1609084193 | Audrey Ann Schoenthal | Marriage & Family Therapist | 1403 18th St., Spirit Lake, IA 51360 | 2007-05-18 |
| 1104987593 | Amy Erika Hartzell | Dentist | 1510 Hill Ave., Suite D, Spirit Lake, IA 51360 | 2006-12-12 |
| Find all providers in zip 51360 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568813780 | Carolina Cucco | Dentist | 322 Dental Science Building South, Iowa City, IA 52242-1001 | 2016-06-29 |
| 1114301231 | Chase Wicker | Dentist | 2750 1st Ave Ne Ste 410, Cedar Rapids, IA 52402-4831 | 2015-07-18 |
| 1285041541 | Kenneth Hermsen | Dentist | 114 1/2 S. 6th Street, Council Bluffs, IA 51501-4324 | 2014-07-18 |
| 1134552995 | Daniel David Hiserote Jr. | Dentist | 1629 1st Ave Sw, Sioux Center, IA 51250-1120 | 2013-08-15 |
| 1649521121 | Ben Cooper Jorgensen | Dentist | 550 Pond View Dr Ste 2, North Liberty, IA 52317 | 2012-09-25 |
| 1407130420 | Rene Chu | Dentist | 341 Dental Science S, Iowa City, IA 52242-1001 | 2011-10-10 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1700105442 | Cedar Valley Endodontics, LLC | Dentist | 209 Brookeridge Dr, Waterloo, IA 50702-5703 | 2010-05-20 |
| 1124275490 | Jose David Vela | Dentist | Department of Endodontics, 435 Dental Science Building S., Iowa City, IA 52242 | 2008-08-19 |
| 1134317845 | Tobin Norman Drake | Dentist | 435 Dsb South, University of Iowa - College of Dentistry, Iowa City, IA 52242 | 2007-10-09 |
| Find all providers with the same taxonomy | ||||
| City | SPIRIT LAKE |
| Zip Code | 51360 |
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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.