| Smiles On Main | |
|
119 South Main Ste 1 Maquoketa IA 52060 | |
| (563) 652-4133 | |
| Not Available |
| Full Name | Smiles On Main |
|---|---|
| Speciality | Dentist |
| Location | 119 South Main, Maquoketa, Iowa |
| Authorized Official Name and Position | Salvador D Atienza (PRESIDENT) |
| Authorized Official Contact | 5636524133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On Main 119 South Main Ste 1 Maquoketa IA 52060 Ph: (563) 652-4133 | Smiles On Main 119 South Main Ste 1 Maquoketa IA 52060 Ph: (563) 652-4133 |
| NPI Number | 1528015328 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 01/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528015328 | NPI | - | NPPES |
| 8368 | Other | DELTA | |
| 0464354 | Medicaid | IA | |
| 0116848 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7745 (Iowa) | Primary |
| 122300000X | Dentist | 8368 (Iowa) | Secondary |
Bruce A D'agostino Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 W Platt St, Maquoketa, IA 52060 Phone: 563-652-3811 Fax: 563-652-3187 | |
Lechtenberg Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 W Pleasant St, Maquoketa, IA 52060 Phone: 563-652-3438 Fax: 563-652-0138 |