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CEDAR RAPIDS ENDODONTICS PC NPI 1134248578


NPI Information

NPI: 1134248578
Provider Name: CEDAR RAPIDS ENDODONTICS PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
2750 1ST AVE NE
STE 410
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 365-1456
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CEDAR RAPIDS ENDODONTICS PC is an endodontics dentist in Cedar Rapids, IA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. CEDAR RAPIDS ENDODONTICS PC NPI is 1134248578. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2750 1ST AVE NE
STE 410
CEDAR RAPIDS, IA
ZIP 52402-845
Phone: (319) 365-1456
Fax: (319) 261-0118

The provider's authorized official is Jack C Liu .
The authorized official title is President Endodontist and has the following contact phone number (319) 365-1456.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 1/28/2016.


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
11223E0200XDentistEndodontics08090IOWAYes

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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