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Contact Information

AMY E HARTZELL, DDS
1510 HILL AVE.
SUITE D
SPIRIT LAKE, IA51360
 Phone: 712-336-4895
 Fax: 712-336-3336
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AMY E HARTZELL · (Female)

NPI Number 1104987593
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/12/2006
Last updated 06/21/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 08441
  • IA Medicaid 0497800
  • NE Medicaid 10025415600
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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