Individual provider · Type 1 NPI

Kelsey Dierikx, DDS

Oral and Maxillofacial Surgery (Dentist) · Iowa City, IA

NPI number 1740745728 Active

Practice location

2814 Northgate Dr Ste 2
Iowa City, IA 52245-9505

Fax (319) 338-9413

Mailing address

322 Dental Science Bldg S
Iowa City, IA 52242-1001

Other practice locations

  • 51300 Pomerantz Family Pavilion, 200 Hawkins Dr, Iowa City, IA 52242-1049 · (319) 356-2205
  • 801 Newton Rd, Iowa City, IA 52242-1001 · (319) 335-7440
  • 1804 E Washington St, Mount Pleasant, IA 52641-3217 · (319) 385-5266

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDDS-09677 (IA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDDS-09677 (IA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1740745728

Kelsey Dierikx, DDS's National Provider Identifier is 1740745728, issued on Feb 5, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Iowa City, IA. The record was last updated on Aug 4, 2023.