John A. Wilde D.D.S. Inc.
LBN: John A. Wilde D.D.S. Inc.
John A. Wilde D.D.S. Inc. is an health care organization with primary practice located at 1626 Morgan St , Keokuk IA 52632-3424. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
John A. Wilde D.D.S. Inc. can be contacted via phone (319) 524-1477, or through Vogel, Becky L via phone (319) 524-1477.
Contact Information
Primary practice address
1626 Morgan St
Keokuk IA 52632-3424
Phone: (319) 524-1477
Fax: (319) 524-7965
Website:
Authorized official contact:
Name: Vogel, Becky L Registered Dental Assistant (RDA)
Phone: (319) 524-1477
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 05824 | Iowa |
Profile Details
| NPI number | 1427215441 |
|---|---|
| LBN Legal business name | John A. Wilde D.D.S. Inc. |
| DBA Doing business as | |
| Authorized official | Vogel, Becky L Registered Dental Assistant (RDA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427215441 | NPPES |
| Iowa | Other | 05824 | IOWA DENTAL LICENSE |
| Iowa | Other | 38071 | IOWA DENTAL LICENSE |
| Iowa | MEDICAID | 1089326 | IOWA DENTAL LICENSE |
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