| Design Dental, Inc. | |
|
115 N. Hwy 965 North Liberty IA 52317 | |
| (319) 626-2222 | |
| (319) 626-6610 |
| Full Name | Design Dental, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 115 N. Hwy 965, North Liberty, Iowa |
| Authorized Official Name and Position | Shin-ing Jeremy Tu (OWNER) |
| Authorized Official Contact | 3196262222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Design Dental, Inc. 115 N. Hwy 965 Po Box 915 North Liberty IA 52317 Ph: (319) 626-2222 | Design Dental, Inc. 115 N. Hwy 965 North Liberty IA 52317 Ph: (319) 626-2222 |
| NPI Number | 1740649912 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740649912 | NPI | - | NPPES |
| 0279349 | Medicaid | IA | |
| 1790871531 | Other | IA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 207719 (Iowa) | Primary |
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