Dr Tad Rutledge Mabry, DDS | |
201 Dsb South, University Of Iowa College Of Dentistry, Iowa City, IA 52242-1001 | |
(319) 335-7487 | |
(319) 353-5508 |
Full Name | Dr Tad Rutledge Mabry |
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Gender | Male |
Speciality | Dentist |
Location | 201 Dsb South, Iowa City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558424051 | NPI | - | NPPES |
1300818 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 74837 (Oklahoma) | Secondary |
122300000X | Dentist | 40114 (Iowa) | Primary |
122300000X | Dentist | 4837 (Oklahoma) | Secondary |
Entity Name | State University Of Iowa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
Mailing Address | Practice Location Address |
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Dr Tad Rutledge Mabry, DDS 201 Dsb South, University Of Iowa College Of Dentistry, Iowa City, IA 52242-1001 Ph: (319) 335-7487 | Dr Tad Rutledge Mabry, DDS 201 Dsb South, University Of Iowa College Of Dentistry, Iowa City, IA 52242-1001 Ph: (319) 335-7487 |
Michael L Santucci, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 322 Dental Science Bldg S, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-333-7451 | |
Dr. Justin William Nichols, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 Newton Rd, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451 | |
Dr. Uzair Ahmad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 Newton Rd, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451 | |
Dr. Stephen T Bender, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1513 Mall Dr, Iowa City, IA 52240 Phone: 319-354-1409 Fax: 319-354-3113 | |
Dr. Thomas J. Bauer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 322 Dental Science S, Iowa City, IA 52242 Phone: 319-384-1139 Fax: 319-384-1785 | |
Karin Weber-gasparoni, DDS MS PHD Dentist Medicare: Medicare Enrolled Practice Location: 322 S Dental Science Bldg, Center For Disability And Development, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451 | |
Steven Douglas Vincent, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 322 S Dental Science Bldg, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451 |