Dewitt Dental Associates, Pc | |
907 11th St De Witt IA 52742-1207 | |
(563) 659-3411 | |
(563) 659-2831 |
Full Name | Dewitt Dental Associates, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 907 11th St, De Witt, Iowa |
Authorized Official Name and Position | Kelly A Siegel (BUSINESS MANAGER) |
Authorized Official Contact | 5636593411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dewitt Dental Associates, Pc 907 11th St De Witt IA 52742-1207 Ph: (563) 659-3411 | Dewitt Dental Associates, Pc 907 11th St De Witt IA 52742-1207 Ph: (563) 659-3411 |
NPI Number | 1194870626 |
---|---|
Provider Enumeration Date | 01/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194870626 | NPI | - | NPPES |
1283150 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 07420 (Iowa) | Primary |
Dewitt Family Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 923 6th Ave, De Witt, IA 52742 Phone: 563-659-9500 |