Dierikx, Kelsey
Dierikx, Kelsey is an individual health care provider with primary practice located at 2814 Northgate Dr Ste 2 , Iowa City IA 52245-9505. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Dierikx, Kelsey can be contacted via phone (319) 335-5484.Contact Information
Primary practice address
2814 Northgate Dr Ste 2
Iowa City IA 52245-9505
Phone: (319) 335-5484
Fax: (319) 338-9413
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DDS-09677 | Iowa |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DDS-09677 | Iowa |
Profile Details
NPI number | 1740745728 |
---|---|
LBN Legal business name | Dierikx, Kelsey |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2019 |
Last updated | Aug 4th, 2023 - about last year |
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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