CLINTON DENTAL SURGERY CENTER, P.C.; NPI #1730355033

Contact Information

CLINTON DENTAL SURGERY CENTER, P.C.

2314 N 2ND ST
CLINTON, IA 52732-2434

Phone: 563-242-1565
Fax: 563-242-0095
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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

NPI # 1730355033

LBN Legal business name CLINTON DENTAL SURGERY CENTER, P.C.

Authorized official ROBERT ALT - (CORPORATE V.P. AND SEC)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/06/2008

Last updated 05/06/2008 - About 18 years ago

Identifiers

License #

06659

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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