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CEDAR RAPIDS PERIODONTICS & DENTAL IMPLANTS NPI 1043871411


NPI Information

NPI: 1043871411
Provider Name: CEDAR RAPIDS PERIODONTICS & DENTAL IMPLANTS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
2727 1ST AVE SE STE 3
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 365-6150
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CEDAR RAPIDS PERIODONTICS & DENTAL IMPLANTS is a periodontics dentist in Cedar Rapids, IA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CEDAR RAPIDS PERIODONTICS & DENTAL IMPLANTS NPI is 1043871411. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2727 1ST AVE SE STE 3
CEDAR RAPIDS, IA
ZIP 52402-844
Phone: (319) 365-6150

The provider's authorized official is Joseph Ballatore .
The authorized official title is President and has the following contact phone number (319) 365-6150.

The enumeration date for this NPI number is 6/26/2019 and was last updated on 2/15/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsYes
2261QD0000XClinic/CenterDentalNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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