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KIMBALL & BEECHER WATERLOO PLLC NPI 1851302178


NPI Information

NPI: 1851302178
Provider Name: KIMBALL & BEECHER WATERLOO PLLC

Former Legal Business Name: KIMBALL AND BEECHER FAMILY DENTISTRY PLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4015 HURST DRIVE
WATERLOO, IA
ZIP 50701
Phone: (319) 235-6287
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KIMBALL & BEECHER WATERLOO PLLC is a general practice dentist in Waterloo, 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. KIMBALL & BEECHER WATERLOO PLLC NPI is 1851302178. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Kimball And Beecher Family Dentistry Plc.

The provider's business location address is:

4015 HURST DRIVE
WATERLOO, IA
ZIP 50701
Phone: (319) 235-6287
Fax: (319) 235-6740

The provider's authorized official is Tracy Wood .
The authorized official title is Exec. Director and has the following contact phone number (319) 235-6287.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 1/18/2017.


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
11851302178MEDICAIDIOWA

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: 4/28/2024

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