| Oral Surgery Of Iowa Pllc | |
|
5350 Kirkwood Blvd Sw Ste 700 Cedar Rapids IA 52404-5234 | |
| (319) 366-0600 | |
| Not Available |
| Full Name | Oral Surgery Of Iowa Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5350 Kirkwood Blvd Sw Ste 700, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Joann Rice (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6093153851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Of Iowa Pllc 2970 Brandywine Rd Ste 200 Atlanta GA 30341-5549 Ph: (770) 692-1000 | Oral Surgery Of Iowa Pllc 5350 Kirkwood Blvd Sw Ste 700 Cedar Rapids IA 52404-5234 Ph: (319) 366-0600 |
| NPI Number | 1477268878 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477268878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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