| Eastern Iowa Dental Center | |
|
1225 3rd Ave Se Cedar Rapids IA 52403-4009 | |
| (319) 730-7300 | |
| Not Available |
| Full Name | Eastern Iowa Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1225 3rd Ave Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | James Lock (CEO) |
| Authorized Official Contact | 3197307300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Iowa Dental Center 1225 3rd Ave Se Cedar Rapids IA 52403-4009 Ph: (319) 730-7300 | Eastern Iowa Dental Center 1225 3rd Ave Se Cedar Rapids IA 52403-4009 Ph: (319) 730-7300 |
| NPI Number | 1437600053 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 07/17/2017 |
| Medicare PECOS PAC ID | 0648364828 |
|---|---|
| Medicare Enrollment ID | O20170718002013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437600053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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