Renee L. Husen, D.D.S.

Individual provider Active NPI General Practice Dentistry · Sergeant Bluff, IA

NPI 1164465779 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1164465779
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
08345 (IA)
Practice address
703 First St.
Sergeant Bluff, IA 51054
Phone
(712) 943-4242
Fax
(712) 943-4243
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150520000553 IA Order and Referring Only - Other (Non-Physician) 1153641816

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
08345IAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08345 IA Yes

Addresses

Primary practice location

703 First St.
Sergeant Bluff, IA 51054

Mailing address

703 1St St.
Sergeant Bluff, IA 51054
Phone (712) 943-4242

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.