| Dewitt Dental Associates, Pc | |
|
907 11th St De Witt IA 52742-1207 | |
| (563) 659-3411 | |
| (563) 659-2831 |
| Full Name | Dewitt Dental Associates, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 907 11th St, De Witt, Iowa |
| Authorized Official Name and Position | Kelly A Siegel (BUSINESS MANAGER) |
| Authorized Official Contact | 5636593411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitt Dental Associates, Pc 907 11th St De Witt IA 52742-1207 Ph: (563) 659-3411 | Dewitt Dental Associates, Pc 907 11th St De Witt IA 52742-1207 Ph: (563) 659-3411 |
| NPI Number | 1194870626 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194870626 | NPI | - | NPPES |
| 1283150 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07420 (Iowa) | Primary |
Dewitt Family Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 923 6th Ave, De Witt, IA 52742 Phone: 563-659-9500 | |
Alec Mathews Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 11th St, De Witt, IA 52742 Phone: 319-931-4387 Fax: 563-659-2831 |