Organization · Type 2 NPI

ST Luke's Methodist Hospital

Dental Clinic/Center · Cedar Rapids, IA

NPI number 1306589411 Active

Practice location

855 A Ave NE Ste LL1
Cedar Rapids, IA 52402-5064

Call (319) 369-7730 Map

Mailing address

1026 A Ave NE
Cedar Rapids, IA 52402-5074

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

Marlee G. Hansen, DDSPediatric Dentistry Cedar Rapids, IA NPI 1528446606
Scott Mitchell Anderson, DDSGeneral Practice Dentistry Cedar Rapids, IA NPI 1770897910

Other dental clinic/center providers in Cedar Rapids

See all in Cedar Rapids →

NPI record

NPI: 1306589411
Entity type: Organization (Type 2)
Issued: Apr 16, 2022
Last updated: Apr 16, 2022
Status: Active
Subpart: Yes of ST Luke's Methodist Hospital

Other names

St. Luke's Hospital Dental Health Center · other name

Authorized official

Michelle Niermann
President/ceo
(319) 369-7203

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306589411

ST Luke's Methodist Hospital's National Provider Identifier is 1306589411, issued on Apr 16, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cedar Rapids, IA. The record was last updated on Apr 16, 2022.