| Dental Office | |
|
300 S Main St Odebolt IA 51458-7719 | |
| (712) 668-2219 | |
| Not Available |
| Full Name | Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 300 S Main St, Odebolt, Iowa |
| Authorized Official Name and Position | Thad Marsh Thompson (PARTNER) |
| Authorized Official Contact | 7126682219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Office 300 S Main Odebolt IA 51458-0660 Ph: (712) 668-2219 | Dental Office 300 S Main St Odebolt IA 51458-7719 Ph: (712) 668-2219 |
| NPI Number | 1063670149 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063670149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 06795 (Iowa) | Primary |