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Contact Information

SERGEANT BLUFF DENTAL, PC
703 1ST ST
PO BOX 280
SERGEANT BLUFF, IA51054
 Phone: 712-943-4242
 Fax: 712-943-4243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SERGEANT BLUFF DENTAL, PC

NPI # 1619494333
LBN Legal business name SERGEANT BLUFF DENTAL, PC
Authorized official RENEE HUSEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
IA License # 08345
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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