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Contact Information

SALLY M ROUSHDY
801 NEWTON ROAD
UNIVERSITY OF IOWA COLLEGE OF DENTISTRY
IOWA CITY, IA52242
 Phone: 319-335-3188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for SALLY M ROUSHDY · (Female)

NPI # 1073029591
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2017
Last updated 12/20/2017 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # FAC-40179
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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