Organization · Type 2 NPI

Northeast Iowa Dental Professional Corporation

General Practice Dentistry · Waukon, IA

NPI number 1720173990 Active

Practice location

18 1st Ave NW
Waukon, IA 52172

Fax (563) 568-6144

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

4 other providers at this address

NPI record

NPI: 1720173990
Entity type: Organization (Type 2)
Issued: Oct 4, 2006
Last updated: Dec 18, 2008
Status: Active
Subpart: Yes of Northeast Iowa Dental Professional Corporation

Other names

<unavail>
Waukon Dental · doing business as

Authorized official

Mrs. Judy Sue Kurth
Office Manager
(563) 568-4528

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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 1720173990

Northeast Iowa Dental Professional Corporation's National Provider Identifier is 1720173990, issued on Oct 4, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waukon, IA. The record was last updated on Dec 18, 2008.