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Contact Information

AGAPE DENTISTRY, PLC
159 S MAIN AVE
SIOUX CENTER, IA51250-1535
 Phone: 712-722-2618
 Fax: 712-722-2638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AGAPE DENTISTRY, PLC

NPI Number 1336206515
LBN Legal business name AGAPE DENTISTRY, PLC
Authorized official DIANE KOELE - (BUSINESS ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2007
Last updated 02/25/2008 - About 18 years ago
Identifiers
IA Medicaid 0739029
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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