Sergeant Bluff Smiles

Organization Active NPI General Practice Dentistry · Sergeant Bluff, IA

NPI 1053774562 · NPPES record last updated Apr 1, 2016

Key facts

NPI
1053774562
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
08538 (IA)
Legal business name
SERGEANT BLUFF SMILES
Practice address
104 Port Neal Rd
Sergeant Bluff, IA 51054-8097
Phone
(712) 943-4746
NPI assigned
Apr 1, 2016
Organization subpart
No

Authorized official

Name
Dr. Laura Giese
Title
Dentist
Phone
(712) 943-4746

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

104 Port Neal Rd
Sergeant Bluff, IA 51054
Phone (712) 943-4746

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 08538 IA Yes

Addresses

Primary practice location

104 Port Neal Rd
Sergeant Bluff, IA 51054-8097

Mailing address

104 Port Neal Rd
Sergeant Bluff, IA 51054-8097
Phone (712) 943-4746

Other providers in Sergeant Bluff, IA

All providers in Sergeant Bluff, IA · General Practice Dentistry in Iowa

Sources for this page

Verify at the official NPI Registry.