| Kadavy Orthodontics | |
|
314 3rd Ave S Clinton IA 52732-4436 | |
| (563) 243-6622 | |
| (563) 242-1484 |
| Full Name | Kadavy Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 314 3rd Ave S, Clinton, Iowa |
| Authorized Official Name and Position | Jennifer Tucker (OFFICE MANAGER) |
| Authorized Official Contact | 5632436622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kadavy Orthodontics 314 3rd Ave S Clinton IA 52732-4436 Ph: (563) 243-6622 | Kadavy Orthodontics 314 3rd Ave S Clinton IA 52732-4436 Ph: (563) 243-6622 |
| NPI Number | 1982781340 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982781340 | NPI | - | NPPES |
| 0074542 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 07343 (Iowa) | Primary |
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