| Dewitt Family Dentistry P.c. | |
|
923 6th Ave De Witt IA 52742-1330 | |
| (563) 659-9500 | |
| Not Available |
| Full Name | Dewitt Family Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 923 6th Ave, De Witt, Iowa |
| Authorized Official Name and Position | Traci Paulsen (OWNER) |
| Authorized Official Contact | 5636599500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitt Family Dentistry P.c. 923 6th Ave De Witt IA 52742-1330 Ph: (563) 659-9500 | Dewitt Family Dentistry P.c. 923 6th Ave De Witt IA 52742-1330 Ph: (563) 659-9500 |
| NPI Number | 1104987833 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104987833 | NPI | - | NPPES |
| 0473173 | Medicaid | IA | |
| 0264440 | Medicaid | IA | |
| 0911644 | Medicaid | IA |
Dewitt Dental Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 11th St, De Witt, IA 52742 Phone: 563-659-3411 Fax: 563-659-2831 |