| Michael James Kanellis, DDS MS | |
|
322 S Dental Science Bldg, Iowa City, IA 52242-1001 | |
| (319) 384-1139 | |
| (319) 384-1785 |
| Full Name | Michael James Kanellis |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 322 S Dental Science Bldg, 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 |
|---|---|---|---|
| 1518061209 | NPI | - | NPPES |
| 1007047 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 06521 (Iowa) | Primary |
| Entity Name | State University Of Iowa |
|---|---|
| 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 |
|---|---|
| Michael James Kanellis, DDS MS 257 S Dental Science Bldg, Iowa City, IA 52242-1001 Ph: (319) 335-7431 | Michael James Kanellis, DDS MS 322 S Dental Science Bldg, Iowa City, IA 52242-1001 Ph: (319) 384-1139 |
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 |