National Provider Identifier Database

CLINTON DENTAL SURGERY CENTER PC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

CLINTON DENTAL SURGERY CENTER, P.C.
2314 N 2ND ST
CLINTON, IA52732-2434
Phone: 563-242-1565
Fax: 563-242-0095
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for CLINTON DENTAL SURGERY CENTER, P.C.

NPI Number 1730355033
Legal business name
LBN
CLINTON DENTAL SURGERY CENTER, P.C.
Authorized official ROBERT ALT - (CORPORATE V.P. AND SEC)
Entity Organization
Organization subpart No
Enumeration date 05/06/2008
Last updated 05/06/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 06659

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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