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2635 Lincoln Way Ste E Clinton IA 52732-7229 | |
| (563) 243-6622 | |
| (563) 242-1484 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2635 Lincoln Way Ste E, 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 |
|---|---|
2635 Lincoln Way Ste E Clinton IA 52732-7229 Ph: (563) 243-6622 | 2635 Lincoln Way Ste E Clinton IA 52732-7229 Ph: (563) 243-6622 |
| NPI Number | 1982781340 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982781340 | NPI | - | NPPES |
| 0074542 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 07343 (Iowa) | Primary |
Spring Park Oral And Maxillofacial Surgeons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 S 4th St, Clinton, IA 52732 Phone: 563-243-4406 Fax: 563-243-8534 | |
Clinton Smiles Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 N 2nd St, Clinton, IA 52732 Phone: 563-243-3350 Fax: 563-243-3351 | |
Clinton Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 3rd Avenue South, Clinton, IA 52732 Phone: 563-242-5041 Fax: 563-242-5044 | |