FAMILY FIRST DENTAL OF PRIMGHAR, P.C. (NPI# 1912161944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912161944 |
| Entity Type | Organization |
| Organization Name | FAMILY FIRST DENTAL OF PRIMGHAR, P.C. |
| Other Organization Name | FAMILY 1ST DENTAL OF LAKE CITY |
| Practice Address |
1331 W Main St Lake City IA 51449-1585 |
| Practice Telephone | 7124643124 |
| Mailing Telephone | 7124643124 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2009-01-07 |
| Authorized Official Name | DR. CHARLES S. SKOGLUND (OWNER) |
| Authorized Official Telephone | 4026443177 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
08163 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025042400 | 05 | |
| IA | 0265447 | 05 | |
| IA | WELLMARK | 55729 | 01 |
| Other Name | Type Code |
|---|---|
| Family 1st Dental of Lake City | Doing Business As Name - Organization |
| Street Address |
1331 W MAIN ST |
| City | LAKE CITY |
| State | IA |
| Zip Code | 51449-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710270376 | Yong Jung Chang | Dentist | 1331 W Main St, Box 122, Lake City, IA 51449-1585 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184719767 | Harris Drug, Inc. | Pharmacy | 121 East Main St., Lake City, IA 51449 | 2006-10-03 |
| 1427168749 | David Joseph Verbik | Dentist | 1331 West Main Street, Lake City, IA 51449 | 2006-08-30 |
| 1760921951 | Jeremie Lee Kent | Driver | 1115 W Main St, Lake City, IA 51449 | 2017-02-21 |
| 1811025984 | Cynthia Joan Grear | Pharmacist | 121 W. Main Street, Lake City, IA 51449 | 2007-03-01 |
| 1669521027 | Rock Vision Clinic PC | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-08 |
| 1770634677 | Craig Steven Rock | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-16 |
| 1285784280 | Jonathan Paul Judisch | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-11 |
| 1912141946 | Charles Smith Loeck | Dentist | 1100 N Douglas St, Lake City, IA 51449-1111 | 2009-04-21 |
| 1932357944 | Southern Cal Community School District | Local Education Agency (LEA) | 709 W Main St, Lake City, IA 51449-1500 | 2008-09-03 |
| 1255601811 | Cesar A. Cardenas | Surgery | 1400 W Main St, Lake City, IA 51449-1577 | 2012-01-12 |
| Find all providers in zip 51449 | ||||
| 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 |
|---|---|---|---|---|
| 1285136242 | Perry Dental, Ltd. | Dentist | 210 N. Lakeshore Dr., Lake City, MN 55041 | 2018-03-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1609296995 | Jimmy Harden | Dentist | 1283 Sw Zesty Cir Apt 101, Lake City, FL 32025-0729 | 2014-04-24 |
| 1326280553 | Lake City Dental Clinic | Dentist | 700 North Henson St, Lake City, CO 81235-0999 | 2009-04-02 |
| 1952560559 | Edward Nelson Morse | Dentist | 216 Se Corrections Way, Lake City, FL 32025-2013 | 2008-06-09 |
| 1912112541 | Michael L Jarrell | Dentist | 1166 Sw Main Blvd, Lake City, FL 32025-5780 | 2007-05-14 |
| 1497880611 | Reeve G Abraben | Dentist | 182 S Marion Ave, Lake City, FL 32025-4354 | 2007-02-21 |
| 1386792513 | Christie Lorraine Cason Wheeler | Dentist | 272 Sw Bentley Pl, Lake City, FL 32025-6972 | 2007-01-05 |
| 1659435287 | Michael Francis Lahey | Dentist | 301 N Main, Lake City, MI 49651 | 2006-12-20 |
| 1124189444 | Stephen Lee Brown | Dentist | 1350 N 7th St, Lake City, MN 55041-1251 | 2006-12-12 |
| Find all providers in LAKE CITY | ||||
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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.