SB Iowa Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SB IOWA DENTISTRY PLLC

Practice address

2953 5TH Ave S
Fort Dodge, IA 50501-2923

Phone

(515) 576-6656

NPI assigned

Mar 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shachindra Bahadur

Title

Owner

Phone

(515) 576-6656

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Corey Jerrod Williams, DMD

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1881260271
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1215439567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 5TH AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012923",
            "telephone_number": "515-576-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB IOWA DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "BAHADUR",
        "authorized_official_first_name": "SHACHINDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-576-6656"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick P. Salocker, D.P.M.
• Katlin Sandlin
• Pallavi Satuluri, MD
• Sayer Counseling, LLC
• Kelly Sayer, MS, LMHC, CADC
• Raymond D Schamel, M.D.
• Delaney Kathleen Schara, PA-C
• Molly Ann Schilling, DNP, ARNP, CPNP-PC
• Kevin L Schminke, MD
• Julie Lynn Schneider, ARNP

• General Practice Dentistry in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.