Frank F Sunstrom DDS & Jon L Sunstrom DDS P.C.
Organization Active NPI Dental Clinic/Center · Boone, IA
NPI 1043479421 · NPPES record last updated Jun 2, 2008
Key facts
- NPI
- 1043479421
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 6579 (IA)
- Legal business name
- FRANK F SUNSTROM DDS & JON L SUNSTROM DDS P.C.
- Practice address
- 708 8TH St
Boone, IA 50036-2726 - Phone
- (515) 432-4223
- Fax
- (515) 432-1054
- NPI assigned
- Jun 2, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- NONE
Authorized official
- Name
- Dr. Jon L Sunstrom, DDS
- Title
- President
- Phone
- (515) 432-4223
Practitioners 1
-
Jon Leslie Sunstrom, DDS
National Provider Directory
- Part of
- Frank F Sunstrom DDS Jon L Sunstrom DDS PC
Locations
708 8th St
Boone, IA 50036
Phone (515) 432-4223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 6579 | IA | Yes |
Addresses
Primary practice location
708 8TH St
Boone, IA 50036-2726
Mailing address
708 8TH St
Boone, IA 50036-2726
Phone (515) 432-4223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841404910 | Medicaid | IA |
Other names
- none
Other providers in Boone, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2008. 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.