| Missouri Valley Dental Group Llc | |
|
73 7th St Woodbine IA 51579-1147 | |
| (712) 647-2450 | |
| (712) 647-2470 |
| Full Name | Missouri Valley Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 73 7th St, Woodbine, Iowa |
| Authorized Official Name and Position | Jean Ann Kerger (CORPORATE MANAGER) |
| Authorized Official Contact | 7126472450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Valley Dental Group Llc 73 7th St Woodbine IA 51579-1147 Ph: (712) 647-2450 | Missouri Valley Dental Group Llc 73 7th St Woodbine IA 51579-1147 Ph: (712) 647-2450 |
| NPI Number | 1144387671 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 07/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144387671 | NPI | - | NPPES |
| 1496026 | Medicaid | IA | |
| 4264622 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |