| H Mark Trunnell Dds Pc | |
|
325 21st St Nw Waverly IA 50677-2019 | |
| (319) 352-4488 | |
| (319) 352-4489 |
| Full Name | H Mark Trunnell Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 325 21st St Nw, Waverly, Iowa |
| Authorized Official Name and Position | Howard Mark Trunnell (PRESIDENT) |
| Authorized Official Contact | 3193524488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H Mark Trunnell Dds Pc 325 21st St Nw Waverly IA 50677-2019 Ph: (319) 352-4488 | H Mark Trunnell Dds Pc 325 21st St Nw Waverly IA 50677-2019 Ph: (319) 352-4488 |
| NPI Number | 1417166257 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417166257 | NPI | - | NPPES |
| 0143206 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6208 (Iowa) | Primary |
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