Peter J Pauly Dds Pc | |
400 S Riverview St Bellevue IA 52031-1350 | |
(563) 872-5678 | |
Not Available |
Full Name | Peter J Pauly Dds Pc |
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Speciality | Clinic/center - Dental |
Location | 400 S Riverview St, Bellevue, Iowa |
Authorized Official Name and Position | Peter J Pauly (DENTIST-PRESIDENT) |
Authorized Official Contact | 5638725678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peter J Pauly Dds Pc 400 S Riverview St Bellevue IA 52031-1350 Ph: (563) 872-5678 | Peter J Pauly Dds Pc 400 S Riverview St Bellevue IA 52031-1350 Ph: (563) 872-5678 |
NPI Number | 1619135696 |
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Provider Enumeration Date | 05/27/2008 |
Last Update Date | 05/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619135696 | NPI | - | NPPES |
0150383 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6336 (Iowa) | Primary |
Scott T. Anderson, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S Riverview St, Bellevue, IA 52031 Phone: 563-872-3211 |