| Family First Dental Of Primghar, P.c. | |
|
1331 W Main St Lake City IA 51449-1585 | |
| (712) 464-3124 | |
| Not Available |
| Full Name | Family First Dental Of Primghar, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1331 W Main St, Lake City, Iowa |
| Authorized Official Name and Position | Charles S. Skoglund (OWNER) |
| Authorized Official Contact | 4026443177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Dental Of Primghar, P.c. 1331 W Main St Lake City IA 51449-1585 Ph: (712) 464-3124 | Family First Dental Of Primghar, P.c. 1331 W Main St Lake City IA 51449-1585 Ph: (712) 464-3124 |
| NPI Number | 1912161944 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912161944 | NPI | - | NPPES |
| 0265447 | Medicaid | IA | |
| 55729 | Other | IA | WELLMARK |
| 10025042400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 08163 (Iowa) | Primary |