| The Cedar Rapids Dental Center | |
|
815 38th St Se Cedar Rapids IA 52403-4300 | |
| (319) 365-0534 | |
| (319) 297-7417 |
| Full Name | The Cedar Rapids Dental Center |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 815 38th St Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Lisa M Shannon (OFFICE MANAGER) |
| Authorized Official Contact | 3193650534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Cedar Rapids Dental Center 815 38th St Se Cedar Rapids IA 52403-4300 Ph: (319) 365-0534 | The Cedar Rapids Dental Center 815 38th St Se Cedar Rapids IA 52403-4300 Ph: (319) 365-0534 |
| NPI Number | 1346377918 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346377918 | NPI | - | NPPES |
| 0280362 | Medicaid | IA | |
| 0281063 | Medicaid | IA | |
| 0084855 | Medicaid | IA |
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