Mabry, Tad Rutledge

Mabry, Tad Rutledge is an individual health care provider with primary practice located at 201 Dsb South University Of Iowa College Of Dentistry, Iowa City IA 52242-1001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mabry, Tad Rutledge can be contacted via phone (319) 335-7487.

Contact Information

Primary practice address
201 Dsb South University Of Iowa College Of Dentistry Iowa City IA 52242-1001
Phone: (319) 335-7487
Fax: (319) 353-5508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 74837 Oklahoma
Dental Providers / Dentist 122300000X 40114 Iowa
Dental Providers / Dentist 122300000X 4837 Oklahoma

Profile Details

NPI number 1558424051
LBN Legal business name Mabry, Tad Rutledge
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 18th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558424051 NPPES
Oklahoma MEDICAID 1300818

Popular Providers