CHILDREN'S DENTISTRY OF COUNCIL BLUFFS P.C. NPI 1033232186

NPI Information

CHILDREN'S DENTISTRY OF COUNCIL BLUFFS, P.C. is a pediatric dentistry dentist in Council Bluffs, IA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CHILDREN'S DENTISTRY OF COUNCIL BLUFFS, P.C. NPI is 1033232186. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40 NORTHCREST DR
COUNCIL BLUFFS, IA
ZIP 51503-622
Phone: (712) 328-9605
Fax: (712) 328-9608

The provider's authorized official is Joseph Anthony Quattrocchi .
The authorized official title is Owner and has the following contact phone number (712) 328-9605.

The CLIA number assigned to this NPI record is 16D2089250 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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