DR. PETER L. VIDAL (NPI# 1821147851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821147851 |
| Entity Type | Individual |
| Full Name | DR. PETER L. VIDAL |
| Credential | D.D.S |
| Practice Address |
160 W 4th St Garner IA 50438-1329 |
| Mailing Address |
160 W 4th St P. O. Box 10 Garner IA 50438-1329 |
| Practice Telephone | 6419232294 |
| Practice Fax Number | 6419233140 |
| Mailing Telephone | 6419232294 |
| Mailing Fax Number | 6419233140 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6152 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0132209 | 05 |
| Street Address |
160 W 4TH ST |
| City | GARNER |
| State | IA |
| Zip Code | 50438-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982812442 | Tammy Abbas | Pharmacist | 930 Hwy 18 West, Garner, IA 50438 | 2007-05-18 |
| 1164560793 | Marc A. Fritz | Chiropractor | 680 W Us Highway 18, Garner, IA 50438-1020 | 2007-02-03 |
| 1952563884 | Garner Chiropractic Center, PC | Chiropractor | 680 W Us Highway 18, Garner, IA 50438-1020 | 2008-07-01 |
| 1093236275 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 720 W Us Highway 18, Garner, IA 50438-1022 | 2017-06-28 |
| 1689209223 | Jamie Nicole Smith | Specialist/Technologist | 720 W Us Highway 18, Garner, IA 50438-1022 | 2020-03-04 |
| 1295021392 | Renee Diamond | Family Medicine | 840 W Us Highway 18, Garner, IA 50438-1023 | 2011-06-27 |
| 1265065270 | Tara Ann Rochleau | Nurse Practitioner | 840 W Us Highway 18, Garner, IA 50438-1023 | 2020-02-18 |
| 1528538808 | Belmond Community Hospital | Clinic/Center | 840 W Us Highway 18, Garner, IA 50438-1023 | 2018-11-29 |
| 1134523269 | Cassie J Wagner | Nurse Practitioner | 840 W Us Highway 18, Garner, IA 50438-1023 | 2014-10-17 |
| 1770594285 | Tammys Pharmacy Inc | Pharmacy | 930 W Us Highway 18, Garner, IA 50438-1034 | 2006-08-10 |
| Find all providers in zip 50438 | ||||
| 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 |
|---|---|---|---|---|
| 1306337282 | Lei Shi | Dentist | 12450 Cleveland Rd Ste 100, Garner, NC 27529-8355 | 2018-05-25 |
| 1851624134 | Malek & Rohani, Dds, Pllc | Dentist | 801 Us Highway 70 W, Garner, NC 27529-2541 | 2009-09-17 |
| 1053579458 | Robert W. Eisberg II, Dds, Pa | Dentist | 2630 Timber Dr, Garner, NC 27529-2571 | 2008-06-02 |
| 1386855914 | Richard Godfrey | Dentist | 941 Heather Park Dr, Garner, NC 27529-4592 | 2007-05-25 |
| 1720148232 | Cynthia Mccaskill Walker | Dentist | 125 Timber Dr, Suite 150, Garner, NC 27529-5800 | 2006-12-12 |
| 1750451621 | Donald Whitfield Rose | Dentist | 609 Benson Rd, Garner, NC 27529-3990 | 2006-11-08 |
| 1417026543 | Lawrence Kevin Arthur | Dentist | 2385 Timber Dr, Garner, NC 27529-2586 | 2006-11-06 |
| 1063597474 | William Jouette Tapp IIi | Dentist | 1018 Hwy 70 West, Garner, NC 27529-2562 | 2006-10-25 |
| 1821171083 | Michael Riccobene | Dentist | 5638 Hwy 42, Ste 214, Garner, NC 27529 | 2006-10-23 |
| 1578595914 | Roy A Tesene | Dentist | 55 State St, Garner, IA 50438-1108 | 2006-07-07 |
| Find all providers in GARNER | ||||
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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.