CONTEMPORARY PERIODONTICS PC NPI 1528135944

NPI Information

CONTEMPORARY PERIODONTICS PC 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. CONTEMPORARY PERIODONTICS PC NPI is 1528135944. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3900 RIVER RIDGE DRIVE NE
SUITE A
CEDAR RAPIDS, IA
ZIP 52402-599
Phone: (319) 363-9880
Fax: (319) 363-8386

The provider's authorized official is Truman Christopher Johnson .
The authorized official title is President and has the following contact phone number (319) 363-9880.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 6/27/2012.

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

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