| Primghar Dental Clinic | |
|
135 1st Street Nw Box 278 Primghar IA 51245 | |
| (712) 957-2460 | |
| Not Available |
| Full Name | Primghar Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 135 1st Street Nw, Primghar, Iowa |
| Authorized Official Name and Position | Jean E Irwin (DENTIST) |
| Authorized Official Contact | 7129572460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primghar Dental Clinic Box 278 135 1st Street Nw Primghar IA 51245 Ph: (712) 957-2460 | Primghar Dental Clinic 135 1st Street Nw Box 278 Primghar IA 51245 Ph: (712) 957-2460 |
| NPI Number | 1649387333 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649387333 | NPI | - | NPPES |
| 1152553 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 06326 (Iowa) | Primary |
Family 1st Dental Of Primghar Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 1st St Nw, Primghar, IA 51245 Phone: 712-957-2460 |