| Oakdale Dental Pc | |
|
2441 Coral Ct Ste 5 Coralville IA 52241-2872 | |
| (319) 545-6251 | |
| (319) 545-7265 |
| Full Name | Oakdale Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2441 Coral Ct Ste 5, Coralville, Iowa |
| Authorized Official Name and Position | Chad R Hanneman (PRESIDENT) |
| Authorized Official Contact | 3195456251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakdale Dental Pc 2441 Coral Ct Ste 5 Coralville IA 52241-2872 Ph: (319) 545-6251 | Oakdale Dental Pc 2441 Coral Ct Ste 5 Coralville IA 52241-2872 Ph: (319) 545-6251 |
| NPI Number | 1578763090 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578763090 | NPI | - | NPPES |
| 1219089 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8001 (Iowa) | Primary |
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