Friendly Dental | |
611 3rd Ave Sibley IA 51249-1626 | |
(712) 754-2288 | |
(712) 754-4865 |
Full Name | Friendly Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 611 3rd Ave, Sibley, Iowa |
Authorized Official Name and Position | Jari L Johnson (OFFICE MANAGER) |
Authorized Official Contact | 5073765525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Friendly Dental 611 3rd Ave Sibley IA 51249-1626 Ph: (712) 754-2288 | Friendly Dental 611 3rd Ave Sibley IA 51249-1626 Ph: (712) 754-2288 |
NPI Number | 1639486285 |
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Provider Enumeration Date | 09/02/2010 |
Last Update Date | 09/02/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639486285 | NPI | - | NPPES |
1922167410 | Other | MN | INDIVIDUAL NPI KELLY PHILLIPS, DDS |
1316975568 | Other | MN | INDIVIDUAL NPI JERRY L. JOHNSON, DDS |
1770672958 | Other | MN | PRIMARY LOCATION NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 07092 (Iowa) | Primary |
James M. Hauck,dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Cedar Ln, Sibley, IA 51249 Phone: 712-754-2761 |