Provider Type Icon

MISSOURI VALLEY DENTAL GROUP LLC NPI 1144387671


NPI Information

NPI: 1144387671
Provider Name: MISSOURI VALLEY DENTAL GROUP LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
73 7TH ST
WOODBINE, IA
ZIP 51579
Phone: (712) 647-2450
Get Directions

MISSOURI VALLEY DENTAL GROUP LLC is a general practice dentist in Woodbine, IA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MISSOURI VALLEY DENTAL GROUP LLC NPI is 1144387671. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

73 7TH ST
WOODBINE, IA
ZIP 51579-147
Phone: (712) 647-2450
Fax: (712) 647-2470

The provider's authorized official is Jean Ann Kerger .
The authorized official title is Corporate Manager and has the following contact phone number (712) 647-2450.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/31/2007.


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
11223G0001XDentistGeneral PracticeYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11496026MEDICAIDIOWA
24264622MEDICAIDIOWA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.