Fort Dodge Oral And Maxillofacial Surgery Pc

LBN: Fort Dodge Oral And Maxillofacial Surgery Llp
Fort Dodge Oral And Maxillofacial Surgery Pc is an health care organization with primary practice located at 804 Kenyon Rd Ste 120, Fort Dodge IA 50501-5742. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Fort Dodge Oral And Maxillofacial Surgery Llp can be contacted via phone (515) 576-8727, or through Schrauth, Elizabeth via phone (515) 576-8727.

Contact Information

Primary practice address
804 Kenyon Rd Ste 120 Fort Dodge IA 50501-5742
Fax: (515) 576-7076
Website:
Authorized official contact:
Name: Schrauth, Elizabeth

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Iowa

Profile Details

NPI number 1841324084
LBN Legal business name Fort Dodge Oral And Maxillofacial Surgery Llp
DBA Doing business as Fort Dodge Oral And Maxillofacial Surgery Pc
Authorized official Schrauth, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Dec 29th, 2017 - about 7 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 1841324084 NPPES
Iowa MEDICAID 1165050
Iowa MEDICAID 0438101
Iowa MEDICAID 1095471

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