| Stone Creek Dental | |
|
613 16th Ave Se Dyersville IA 52040-2050 | |
| (563) 875-9180 | |
| (563) 875-9431 |
| Full Name | Stone Creek Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 613 16th Ave Se, Dyersville, Iowa |
| Authorized Official Name and Position | Sharon L Loso (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5635821448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Creek Dental 40 Main St Ste 100 Dubuque IA 52001-7654 Ph: (563) 582-1448 | Stone Creek Dental 613 16th Ave Se Dyersville IA 52040-2050 Ph: (563) 875-9180 |
| NPI Number | 1629638275 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629638275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Elite Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 9th St Se, Dyersville, IA 52040 Phone: 563-875-8386 Fax: 563-875-8386 | |
Stone Creek Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 16th Ave Se, Dyersville, IA 52040 Phone: 563-875-9180 Fax: 563-875-9341 |