| Peosta Dental | |
|
8558 Kapp Dr Peosta IA 52068-9759 | |
| (563) 557-1563 | |
| (563) 583-0581 |
| Full Name | Peosta Dental |
|---|---|
| Speciality | Dentist |
| Location | 8558 Kapp Dr, Peosta, Iowa |
| Authorized Official Name and Position | Austin Barrett Reed (DENTIST) |
| Authorized Official Contact | 5635571563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peosta Dental 8558 Kapp Dr Peosta IA 52068-9759 Ph: (563) 557-1563 | Peosta Dental 8558 Kapp Dr Peosta IA 52068-9759 Ph: (563) 557-1563 |
| NPI Number | 1508023375 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508023375 | NPI | - | NPPES |
| 0493965 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 08417 (Iowa) | Primary |