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Contact Information

SERGEANT BLUFF DENTAL, PC
703 1ST ST
PO BOX 280
SERGEANT BLUFF, IA51054
 Phone: 712-943-4242
 Fax: 712-943-4243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SERGEANT BLUFF DENTAL PC · (Female)

NPI Number 1619494333
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA License # 08345
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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