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Contact Information

NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
101 FRANKLIN
MONONA, IA52159
 Phone: 563-539-4651
 Fax: 563-539-4653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION

NPI # 1003919135
LBN Legal business name NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
Authorized official JUDY KURTH - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/06/2006
Last updated 12/18/2008 - About 17 years ago
Identifiers n/a
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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