| Eagle Grove Family Dentistry Plc | |
|
306 W Broadway St Eagle Grove IA 50533-1712 | |
| (515) 448-5022 | |
| (515) 448-5537 |
| Full Name | Eagle Grove Family Dentistry Plc |
|---|---|
| Speciality | Dentist |
| Location | 306 W Broadway St, Eagle Grove, Iowa |
| Authorized Official Name and Position | Mysty Shaver (OWNER/DENTIST) |
| Authorized Official Contact | 5154485022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Grove Family Dentistry Plc 306 W Broadway St Eagle Grove IA 50533-1712 Ph: (515) 448-5022 | Eagle Grove Family Dentistry Plc 306 W Broadway St Eagle Grove IA 50533-1712 Ph: (515) 448-5022 |
| NPI Number | 1831566330 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 09/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831566330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 09192 (Iowa) | Primary |
Moffitt Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 W Broadway St, Eagle Grove, IA 50533 Phone: 515-448-4852 Fax: 515-448-3533 |