| James D. Enloe, Dds, Pc | |
|
415 E Main St Ottumwa IA 52501-3027 | |
| (641) 684-0215 | |
| (641) 684-5072 |
| Full Name | James D. Enloe, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 415 E Main St, Ottumwa, Iowa |
| Authorized Official Name and Position | James D Enloe (OWNER) |
| Authorized Official Contact | 6416840215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James D. Enloe, Dds, Pc 415 E Main St Ottumwa IA 52501-3027 Ph: (641) 684-0215 | James D. Enloe, Dds, Pc 415 E Main St Ottumwa IA 52501-3027 Ph: (641) 684-0215 |
| NPI Number | 1326383175 |
|---|---|
| Provider Enumeration Date | 12/05/2012 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326383175 | NPI | - | NPPES |
| 1443770 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8043 (Iowa) | Primary |
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