| Smile Shoppe | |
|
210 S 5th St Burlington IA 52601-5619 | |
| (319) 752-1600 | |
| (319) 752-1610 |
| Full Name | Smile Shoppe |
|---|---|
| Speciality | Dentist |
| Location | 210 S 5th St, Burlington, Iowa |
| Authorized Official Name and Position | Amy Rebecca Groeltz (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3197521600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Shoppe 210 S 5th St Burlington IA 52601-5619 Ph: (319) 752-1600 | Smile Shoppe 210 S 5th St Burlington IA 52601-5619 Ph: (319) 752-1600 |
| NPI Number | 1356518500 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356518500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8298 (Iowa) | Primary |