| Friendly Dental | |
|
611 3rd Ave Sibley IA 51249-1626 | |
| (712) 754-2288 | |
| (712) 754-4865 |
| Full Name | Friendly Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 611 3rd Ave, Sibley, Iowa |
| Authorized Official Name and Position | Jari L Johnson (OFFICE MANAGER) |
| Authorized Official Contact | 5073765525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Friendly Dental 611 3rd Ave Sibley IA 51249-1626 Ph: (712) 754-2288 | Friendly Dental 611 3rd Ave Sibley IA 51249-1626 Ph: (712) 754-2288 |
| NPI Number | 1639486285 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 09/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639486285 | NPI | - | NPPES |
| 1922167410 | Other | MN | INDIVIDUAL NPI KELLY PHILLIPS, DDS |
| 1316975568 | Other | MN | INDIVIDUAL NPI JERRY L. JOHNSON, DDS |
| 1770672958 | Other | MN | PRIMARY LOCATION NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 07092 (Iowa) | Primary |
James M. Hauck,dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Cedar Ln, Sibley, IA 51249 Phone: 712-754-2761 |