| Cedar Dental | |
|
1935 1st Ave Se Cedar Rapids IA 52402 | |
| (319) 364-7108 | |
| (319) 364-6529 |
| Full Name | Cedar Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1935 1st Ave Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Thomas A Anderson (DDS OWNER) |
| Authorized Official Contact | 3193647108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Dental 1935 1st Ave Se Cedar Rapids IA 52402 Ph: (319) 364-7108 | Cedar Dental 1935 1st Ave Se Cedar Rapids IA 52402 Ph: (319) 364-7108 |
| NPI Number | 1316016173 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316016173 | NPI | - | NPPES |
| 0170597 | Medicaid | IA | |
| 000813658 | Other | UNITED CONCORDIA | |
| 0469791 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 06550 (Iowa) | Primary |
| 1223G0001X | Dentist - General Practice | 6459 (Iowa) | Secondary |
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Dental Touch Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5945 Council St Ne # B, Cedar Rapids, IA 52402 Phone: 319-373-5082 Fax: 319-373-7083 | |
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