CEDAR RAPIDS ORAL SURGERY PC NPI 1841458981

NPI Information

  • NPI: 1841458981
  • Provider Name: CEDAR RAPIDS ORAL SURGERY, PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 835 3RD AVE SE
    CEDAR RAPIDS, IA
    ZIP 52403
  • Phone: (319) 365-8441

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NPI Details

CEDAR RAPIDS ORAL SURGERY, PC is an oral and maxillofacial surgery dentist in Cedar Rapids, IA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CEDAR RAPIDS ORAL SURGERY, PC NPI is 1841458981. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

835 3RD AVE SE
CEDAR RAPIDS, IA
ZIP 52403-407
Phone: (319) 365-8441
Fax: (319) 365-0480

The provider's authorized official is Nadia Wattnem .
The authorized official title is Office Manager and has the following contact phone number (319) 365-8441.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 5/27/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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