| James A. Kouba, D.d.s., P.c. | |
|
107 S Pine St Bloomfield IA 52537-1519 | |
| (641) 664-1121 | |
| (641) 664-2107 |
| Full Name | James A. Kouba, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 S Pine St, Bloomfield, Iowa |
| Authorized Official Name and Position | James A Kouba (PRESIDENT) |
| Authorized Official Contact | 6416641121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James A. Kouba, D.d.s., P.c. 107 S Pine St Bloomfield IA 52537-1519 Ph: (641) 664-1121 | James A. Kouba, D.d.s., P.c. 107 S Pine St Bloomfield IA 52537-1519 Ph: (641) 664-1121 |
| NPI Number | 1588707921 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588707921 | NPI | - | NPPES |
| 0128389 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 06138 (Iowa) | Primary |