| Children's Dentistry Of Council Bluffs, P.c. | |
|
40 Northcrest Dr Council Bluffs IA 51503-1622 | |
| (712) 328-9605 | |
| (712) 328-9608 |
| Full Name | Children's Dentistry Of Council Bluffs, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 40 Northcrest Dr, Council Bluffs, Iowa |
| Authorized Official Name and Position | Joseph Anthony Quattrocchi (OWNER) |
| Authorized Official Contact | 7123289605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Council Bluffs, P.c. 40 Northcrest Dr Council Bluffs IA 51503-1622 Ph: (712) 328-9605 | Children's Dentistry Of Council Bluffs, P.c. 40 Northcrest Dr Council Bluffs IA 51503-1622 Ph: (712) 328-9605 |
| NPI Number | 1033232186 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033232186 | NPI | - | NPPES |
| 0463612 | Medicaid | IA | |
| 8243 | Other | IA | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8243 (Iowa) | Primary |
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