| The Dental Depot | |
|
3900 Floyd Blvd Sioux City IA 51108-1552 | |
| (712) 239-5812 | |
| (712) 239-0662 |
| Full Name | The Dental Depot |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3900 Floyd Blvd, Sioux City, Iowa |
| Authorized Official Name and Position | Richard F Hettinger (OWNER) |
| Authorized Official Contact | 7122395812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Depot 3900 Floyd Blvd Sioux City IA 51108-1552 Ph: (712) 239-5812 | The Dental Depot 3900 Floyd Blvd Sioux City IA 51108-1552 Ph: (712) 239-5812 |
| NPI Number | 1053432047 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053432047 | NPI | - | NPPES |
| 0166330 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6429 (Iowa) | Primary |
| 1223G0001X | Dentist - General Practice | 7590 (Iowa) | Secondary |
Wagner, Kuntz & Grabouski Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3021 Hamilton Blvd, Sioux City, IA 51104 Phone: 712-258-0501 Fax: 712-258-1461 | |
Morningside Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4704 Morningside Ave, Sioux City, IA 51106 Phone: 712-276-2206 Fax: 712-276-7247 | |
Tiedeman And Lohr Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2918 Hamilton Blvd, Suite 101, Sioux City, IA 51104 Phone: 712-255-1163 | |
Infinity Implant And Sedation Dentistry Of Morningside Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4016 Morningside Ave, Sioux City, IA 51106 Phone: 605-886-8394 Fax: 605-886-5209 | |
Craig N Burhoop Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3434 S Lakeport St, Sioux City, IA 51106 Phone: 712-276-8391 | |
Matthew T. Mcguire, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Floyd Blvd, Sioux City, IA 51108 Phone: 712-239-5812 |