| Missouri Valley Dental Group, Llc | |
|
214 E Erie St Missouri Valley IA 51555-1533 | |
| (712) 642-4136 | |
| (712) 642-3664 |
| Full Name | Missouri Valley Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 214 E Erie St, Missouri Valley, Iowa |
| Authorized Official Name and Position | Jean Kerger (CORPORATION MANAGER) |
| Authorized Official Contact | 7126424136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Valley Dental Group, Llc 214 E Erie St Missouri Valley IA 51555-1533 Ph: (712) 642-4136 | Missouri Valley Dental Group, Llc 214 E Erie St Missouri Valley IA 51555-1533 Ph: (712) 642-4136 |
| NPI Number | 1073704359 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073704359 | NPI | - | NPPES |
| 0492033 | Medicaid | IA | |
| 5264622 | Medicaid | IA | |
| 2152637 | Medicaid | IA | |
| 6060053 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07421 (Iowa) | Primary |
Missouri Valley Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 E Erie St, Missouri Valley, IA 51555 Phone: 712-642-4136 Fax: 712-642-3491 | |
Walls Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 E Erie St, Missouri Valley, IA 51555 Phone: 712-642-3671 Fax: 712-642-4155 |