Individual provider · Type 1 NPI

Lyle Thomas Roudabush, DDS

General Practice Dentistry · Grinnell, IA

NPI number 1861520652 Active

Practice location

825 Broad St
Grinnell, IA 50112-2153

Call (641) 236-6169 Map

Fax (641) 236-6041

Mailing address

125 16th Ave.
Grinnell, IA 50112

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5719 (IA)

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.

6 other providers at this address

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About NPI 1861520652

Lyle Thomas Roudabush, DDS's National Provider Identifier is 1861520652, issued on Mar 1, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grinnell, IA. The record was last updated on Jul 8, 2007.