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Contact Information

TERESA S GENESER, DMD
2218 1ST AVE NE
CEDAR RAPIDS, IA52402-6347
 Phone: 319-364-2413
 Fax: 319-364-8179
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TERESA S GENESER · (Female)

NPI # 1053573790
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/25/2008
Last updated 11/05/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 08795
  • IA License # 30288
  • RI License # LD00035
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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