NORTH LIBERTY SMILES PLLC NPI 1912466582

NPI Information

  • NPI: 1912466582
  • Provider Name: NORTH LIBERTY SMILES PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 16D1035712
  • Address: 2 HAWKEYE DR STE 104
    NORTH LIBERTY, IA
    ZIP 52317
  • Phone: (319) 665-3373

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NPI Details

NORTH LIBERTY SMILES PLLC is a general practice dentist in North Liberty, 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. NORTH LIBERTY SMILES PLLC NPI is 1912466582. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 HAWKEYE DR STE 104
NORTH LIBERTY, IA
ZIP 52317-202
Phone: (319) 665-3373

The provider's authorized official is Pe Chang .
The authorized official title is Owner and has the following contact phone number (319) 665-3373.

The CLIA number assigned to this NPI record is 16D1035712 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2019 and was last updated on 3/13/2019.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11093813354OTHERNEW MEXICONPI

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: 3/30/2025

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