Dick, Brenda

Dick, Brenda is an individual health care provider with primary practice located at 4224 Sergeant Rd , Sioux City IA 51106. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Dick, Brenda can be contacted via phone (712) 276-2766.

Contact Information

Primary practice address
4224 Sergeant Rd Sioux City IA 51106
Phone: (712) 276-2766
Fax: (712) 276-1707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 07622 Iowa
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 6438 Nebraska

Profile Details

NPI number 1780699405
LBN Legal business name Dick, Brenda
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780699405 NPPES
Iowa MEDICAID 0178749
Iowa MEDICAID 42144026800

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