| Anamosa Dental Assoc. Pc | |
|
702 W Main St Anamosa IA 52205-1636 | |
| (319) 462-2531 | |
| (319) 462-2914 |
| Full Name | Anamosa Dental Assoc. Pc |
|---|---|
| Speciality | Dentist |
| Location | 702 W Main St, Anamosa, Iowa |
| Authorized Official Name and Position | David F. Oldham (OFFICE MANAGER) |
| Authorized Official Contact | 3194622531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anamosa Dental Assoc. Pc 702 W Main St Anamosa IA 52205-1636 Ph: (319) 462-2531 | Anamosa Dental Assoc. Pc 702 W Main St Anamosa IA 52205-1636 Ph: (319) 462-2531 |
| NPI Number | 1891826335 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527233147 |
|---|---|
| Medicare Enrollment ID | O20120111000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891826335 | NPI | - | NPPES |
| 42053 | Other | IA | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Debra K Oldham |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700874617 PECOS PAC ID: 1153596788 Enrollment ID: I20120111000135 |
Jcfd, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 3rd St, Anamosa, IA 52205 Phone: 319-462-2313 | |
Michael M Warner, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E. 3rd St., Anamosa, IA 52205 Phone: 319-462-2313 Fax: 319-462-2507 |