| Oral Surgery Assoc Of Iowa City Pc | |
|
2814 Northgate Dr Suite 2 Iowa City IA 52245 | |
| (319) 338-5484 | |
| (319) 338-9413 |
| Full Name | Oral Surgery Assoc Of Iowa City Pc |
|---|---|
| Speciality | Dentist |
| Location | 2814 Northgate Dr, Iowa City, Iowa |
| Authorized Official Name and Position | Andrew Charles Hartwig (OWNER) |
| Authorized Official Contact | 3193385484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Assoc Of Iowa City Pc 2814 Northgate Dr Suite 2 Iowa City IA 52245-9568 Ph: (319) 338-5484 | Oral Surgery Assoc Of Iowa City Pc 2814 Northgate Dr Suite 2 Iowa City IA 52245 Ph: (319) 338-5484 |
| NPI Number | 1215034889 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 08/30/2018 |
| Medicare PECOS PAC ID | 6608802731 |
|---|---|
| Medicare Enrollment ID | O20050711000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215034889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Iowa) | Primary |
| Provider Name | Michael R Zachar |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1760674006 PECOS PAC ID: 1355612250 Enrollment ID: I20170811000756 |
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