| Manchester Dental Dc | |
|
825 E Main St Manchester IA 52057 | |
| (563) 927-5415 | |
| (563) 927-3542 |
| Full Name | Manchester Dental Dc |
|---|---|
| Speciality | Dentist |
| Location | 825 E Main St, Manchester, Iowa |
| Authorized Official Name and Position | Tim D Cooper (PRESIDENT OWNER) |
| Authorized Official Contact | 5639275415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manchester Dental Dc 825 E Main St Manchester IA 52057 Ph: (563) 927-5415 | Manchester Dental Dc 825 E Main St Manchester IA 52057 Ph: (563) 927-5415 |
| NPI Number | 1932285830 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932285830 | NPI | - | NPPES |
| 0500074 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 06556 (Iowa) | Primary |
Dental Associates Of Manchester Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Fayette St, Manchester, IA 52057 Phone: 563-927-4746 Fax: 563-927-6217 | |
Manchester Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 E Main St, Manchester, IA 52057 Phone: 563-927-5415 Fax: 563-927-3542 | |
Krista Lynn Berryhill Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Main St, Manchester, IA 52057 Phone: 563-927-3612 Fax: 563-927-8711 |