| Knx Dental Enterprises, Llc | |
|
1905 N 15th St Fort Dodge IA 50501-7604 | |
| (515) 573-7601 | |
| Not Available |
| Full Name | Knx Dental Enterprises, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1905 N 15th St, Fort Dodge, Iowa |
| Authorized Official Name and Position | John Clay (OWNER) |
| Authorized Official Contact | 5155737601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knx Dental Enterprises, Llc 401 E Robinson St Knoxville IA 50138-2004 Ph: (641) 828-8778 | Knx Dental Enterprises, Llc 1905 N 15th St Fort Dodge IA 50501-7604 Ph: (515) 573-7601 |
| NPI Number | 1720650450 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 07/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720650450 | NPI | - | NPPES |
| 1223G0001 | Medicaid | IA | |
| 193400000 | Medicaid | IA | |
| 193400000X | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Maria K Becker Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2727 N 15th St, Fort Dodge, IA 50501 Phone: 515-576-5786 Fax: 515-576-5128 | |
Sb Iowa Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2953 5th Ave S, Fort Dodge, IA 50501 Phone: 515-576-6656 | |
James H. Knight, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Floral Ave, Fort Dodge, IA 50501 Phone: 515-571-8251 | |
R Bruce Cochrane Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1611 1st Ave N, Fort Dodge, IA 50501 Phone: 515-576-8151 Fax: 515-576-5670 | |
Ronconi Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N 9th St, Fort Dodge, IA 50501 Phone: 515-573-4044 | |
Clay And Associates Dds, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 North 15th Street, Fort Dodge, IA 50501 Phone: 515-573-7601 Fax: 515-576-3962 | |
Iowa Central Community College Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Avenue M, Fort Dodge, IA 50501 Phone: 515-574-1327 Fax: 515-576-5656 |