James A. Kouba, D.d.s., P.c. | |
107 S Pine St Bloomfield IA 52537-1519 | |
(641) 664-1121 | |
(641) 664-2107 |
Full Name | James A. Kouba, D.d.s., P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 107 S Pine St, Bloomfield, Iowa |
Authorized Official Name and Position | James A Kouba (PRESIDENT) |
Authorized Official Contact | 6416641121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
James A. Kouba, D.d.s., P.c. 107 S Pine St Bloomfield IA 52537-1519 Ph: (641) 664-1121 | James A. Kouba, D.d.s., P.c. 107 S Pine St Bloomfield IA 52537-1519 Ph: (641) 664-1121 |
NPI Number | 1588707921 |
---|---|
Provider Enumeration Date | 02/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588707921 | NPI | - | NPPES |
0128389 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 06138 (Iowa) | Primary |