Croco Orthodontics P.L.C.

LBN: Croco Orthodontics P.L.C.
Croco Orthodontics P.L.C. is an health care organization with primary practice located at 2451 Coral Ct Ste 2 , Coralville IA 52241-2837. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Croco Orthodontics P.L.C. can be contacted via phone (319) 545-7600, or through Croco, Matthew A.T. via phone (319) 545-7600.

Contact Information

Primary practice address
2451 Coral Ct Ste 2 Coralville IA 52241-2837
Fax: (319) 545-7640
Website:
Authorized official contact:
Name: Croco, Matthew A.T. DDS, MS

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 08174 Iowa

Profile Details

NPI number 1275790735
LBN Legal business name Croco Orthodontics P.L.C.
DBA Doing business as
Authorized official Croco, Matthew A.T. DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275790735 NPPES
Iowa MEDICAID 0463018

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