| Jerry W. Kaalberg, Dds P.c. | |
|
2727 1st Ave Se Cedar Rapids IA 52402-4844 | |
| (319) 364-7111 | |
| (319) 364-1726 |
| Full Name | Jerry W. Kaalberg, Dds P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2727 1st Ave Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Jerry W. Kaalberg (PRESIDENT) |
| Authorized Official Contact | 3193647111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry W. Kaalberg, Dds P.c. 2727 1st Ave Se Cedar Rapids IA 52402-4844 Ph: (319) 364-7111 | Jerry W. Kaalberg, Dds P.c. 2727 1st Ave Se Cedar Rapids IA 52402-4844 Ph: (319) 364-7111 |
| NPI Number | 1184737801 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184737801 | NPI | - | NPPES |
| 0060004 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 5773 (Iowa) | Primary |
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