Premier Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PREMIER DENTAL, PC

Practice address

1615 32ND St NE
Cedar Rapids, IA 52402-4072

Phone

(319) 294-2323

Fax

(319) 395-6715

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Karla J Kriegel

Title

Office Manager

Phone

(319) 294-2323

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235219452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 32ND ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024072",
            "telephone_number": "319-294-2323",
            "fax_number": "319-395-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 32ND ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024072",
            "telephone_number": "319-294-2323",
            "fax_number": "319-395-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRIEGEL",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-294-2323"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Clifford Powers
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• Premise Health of Iowa Medical P C
• Jenifer B Presley, DPT
• Kyle Anthony Preuninger, ARNP
• Carissa Lynne Prevenas, BCBA
• Rachel Ann Preves

• General Practice Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, 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 Jul 21, 2022; 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.