| Dr. Richard C. Apodaca, Pc | |
|
110 S. Chestnut Ave Earlham IA 50072-0190 | |
| (515) 758-2323 | |
| (515) 758-3031 |
| Full Name | Dr. Richard C. Apodaca, Pc |
|---|---|
| Speciality | Dentist |
| Location | 110 S. Chestnut Ave, Earlham, Iowa |
| Authorized Official Name and Position | Richard C. Apodaca (OWNER/DENTIST) |
| Authorized Official Contact | 5157582323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Richard C. Apodaca, Pc 110 S. Chestnut Ave Po Box 190 Earlham IA 50072-0190 Ph: (515) 758-2323 | Dr. Richard C. Apodaca, Pc 110 S. Chestnut Ave Earlham IA 50072-0190 Ph: (515) 758-2323 |
| NPI Number | 1427217686 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 10/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427217686 | NPI | - | NPPES |
| 1518937184 | Other | IA | NPI INDIVIDUAL PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
Coppinger Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Chestnut Ave, Earlham, IA 50072 Phone: 515-249-9868 |