| Fort Dodge Oral And Maxillofacial Surgery Llp | |
|
804 Kenyon Rd Ste 120 Fort Dodge IA 50501-5742 | |
| (515) 576-8727 | |
| (515) 576-7076 |
| Full Name | Fort Dodge Oral And Maxillofacial Surgery Llp |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 804 Kenyon Rd, Fort Dodge, Iowa |
| Authorized Official Name and Position | Elizabeth Schrauth (OFFICE MANAGER) |
| Authorized Official Contact | 5155768727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Dodge Oral And Maxillofacial Surgery Llp 804 Kenyon Rd Ste 120 Fort Dodge IA 50501-5746 Ph: (515) 576-8727 | Fort Dodge Oral And Maxillofacial Surgery Llp 804 Kenyon Rd Ste 120 Fort Dodge IA 50501-5742 Ph: (515) 576-8727 |
| NPI Number | 1841324084 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 12/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841324084 | NPI | - | NPPES |
| 1165050 | Medicaid | IA | |
| 0438101 | Medicaid | IA | |
| 1095471 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Iowa) | Primary |
Maria K Becker Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2727 N 15th St, Fort Dodge, IA 50501 Phone: 515-576-5786 Fax: 515-576-5128 | |
Sb Iowa Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2953 5th Ave S, Fort Dodge, IA 50501 Phone: 515-576-6656 | |
James H. Knight, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Floral Ave, Fort Dodge, IA 50501 Phone: 515-571-8251 | |
R Bruce Cochrane Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1611 1st Ave N, Fort Dodge, IA 50501 Phone: 515-576-8151 Fax: 515-576-5670 | |
Ronconi Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N 9th St, Fort Dodge, IA 50501 Phone: 515-573-4044 | |
Clay And Associates Dds, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 North 15th Street, Fort Dodge, IA 50501 Phone: 515-573-7601 Fax: 515-576-3962 | |
Iowa Central Community College Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Avenue M, Fort Dodge, IA 50501 Phone: 515-574-1327 Fax: 515-576-5656 |