Johnston Family Dentistry | |
6108 Nw 59th Ct Johnston IA 50131-1580 | |
(515) 270-9679 | |
Not Available |
Full Name | Johnston Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 6108 Nw 59th Ct, Johnston, Iowa |
Authorized Official Name and Position | Chad A King (PRESIDENT) |
Authorized Official Contact | 5152709679 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Johnston Family Dentistry 6108 Nw 59th Ct Johnston IA 50131-1580 Ph: (515) 270-9679 | Johnston Family Dentistry 6108 Nw 59th Ct Johnston IA 50131-1580 Ph: (515) 270-9679 |
NPI Number | 1932386398 |
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Provider Enumeration Date | 01/29/2008 |
Last Update Date | 01/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932386398 | NPI | - | NPPES |
1033241575 | Other | IA | INDIVIDUAL NPI |
1689743502 | Other | IA | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8048 (Iowa) | Primary |
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