Individual provider · Type 1 NPI
Kenneth John Eganhouse, DDS, M.S.
Periodontics · Ottumwa, IA
NPI number
1386772085
Active
Practice location
227 W 4th St, Suite 2C
Ottumwa, IA 52501-2544
Mailing address
1636 Plum Thicket Ln
West Des Moines, IA 50266-6603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 7194 (IA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1386772085
Kenneth John Eganhouse, DDS, M.S.'s National Provider Identifier is 1386772085, issued on Mar 2, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Ottumwa, IA. The record was last updated on Jul 8, 2007.