| Kingsley Dental Clinic | |
|
12 East 2nd Kingsley IA 51028-0220 | |
| (712) 378-2061 | |
| (712) 378-2348 |
| Full Name | Kingsley Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12 East 2nd, Kingsley, Iowa |
| Authorized Official Name and Position | Karl Duane Koelling (PRESIDENT) |
| Authorized Official Contact | 7123782061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsley Dental Clinic 12 East 2nd Kingsley IA 51028-0220 Ph: (712) 378-2061 | Kingsley Dental Clinic 12 East 2nd Kingsley IA 51028-0220 Ph: (712) 378-2061 |
| NPI Number | 1942386099 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942386099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07997 (Iowa) | Primary |