Kudzai Chikwava, DDS
Individual provider Active NPI General Practice Dentistry · Council Bluffs, IA
NPI 1093943391 · NPPES record last updated Sep 10, 2012
Key facts
- NPI
- 1093943391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 08638 (IA)
- Practice address
- 300 W Broadway
Suite 6
Council Bluffs, IA 51503-9078 - Phone
- (712) 256-6572
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08638 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kudzai Chikwava DDS LLC Asdent Dentistry | Current |
Accepting new patients | |
| Kudzai Chikwawa DDS LLC Aspire Dentistry | General Practice | Current |
Accepting new patients |
Locations
4727 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 622-4869
1625 McCallie Ave
Chattanooga, TN 37404
Phone (423) 521-3550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08638 | IA | Yes |
Addresses
Primary practice location
300 W Broadway
Suite 6
Council Bluffs, IA 51503-9078
Mailing address
15011 Bemis St
Omaha, NE 68154-1843
Phone (919) 423-6386
Other providers in Council Bluffs, IA
- Yuttana Chawengsub
- Kyle M Cheatham
- Thomas Francis Cheatle
- Michael Chen
- CHI Health Clinic Physician Enterprise-Anesthesia LLC
- Children'S Dentistry of Council Bluffs, P.C.
- Children'S Hospital & Medical Center
- Childrens Dental Council Bluffs LLC
- Karoweso Margaret Chipendo
- Chiropractic Essence PLLC
All providers in Council Bluffs, IA · General Practice 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 Sep 10, 2012. 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.