Children'S Dentistry of Council Bluffs, P.C.
Organization Active NPI Pediatric Dentistry · Council Bluffs, IA
NPI 1033232186 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1033232186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 8243 (IA)
- Legal business name
- CHILDREN'S DENTISTRY OF COUNCIL BLUFFS, P.C.
- Practice address
- 40 Northcrest Dr
Council Bluffs, IA 51503-1622 - Phone
- (712) 328-9605
- Fax
- (712) 328-9608
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Anthony Quattrocchi Jr., D.D.S.
- Title
- Owner
- Phone
- (712) 328-9605
Practitioners 1
-
Joseph Quattrocchi Jr., D.D.S.
National Provider Directory
Locations
40 Northcrest Dr
Council Bluffs, IA 51503
Phone (712) 328-9605
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | 8243 | IA | Yes |
Addresses
Primary practice location
40 Northcrest Dr
Council Bluffs, IA 51503-1622
Mailing address
40 Northcrest Dr
Council Bluffs, IA 51503-1622
Phone (712) 328-9605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0463612 | Medicaid | IA | |
| 8243 | Other | IA | DENTAL LICENSE NUMBER |
Other providers in Council Bluffs, IA
- Kyle M Cheatham
- Thomas Francis Cheatle
- Michael Chen
- CHI Health Clinic Physician Enterprise-Anesthesia LLC
- Kudzai Chikwava
- Children'S Hospital & Medical Center
- Childrens Dental Council Bluffs LLC
- Karoweso Margaret Chipendo
- Chiropractic Essence PLLC
- Choices Counseling and Consulting
All providers in Council Bluffs, IA · Pediatric Dentistry in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.