Applewhite Dental Iowa PC

Organization Active NPI General Practice Dentistry · Pleasant Hill, IA

NPI 1306406137 · NPPES record last updated Jul 29, 2019

Key facts

NPI
1306406137
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
APPLEWHITE DENTAL IOWA PC
Practice address
1286 Copper Creek Dr
Pleasant Hill, IA 50327-7000
Phone
(515) 263-1414
Fax
(515) 263-0807
NPI assigned
Jun 14, 2019
Organization subpart
Yes
Parent organization (as reported)
APPLEWHITE DENTAL IOWA PC

Authorized official

Name
Sharon L Loso
Title
Credentialing Specialist
Phone
(563) 582-1448

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

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

National Provider Directory

Tax ID family
Applewhite Dental Iowa PC (24 organizations share this tax ID)
Part of
Applewhite Dental Iowa PC

Locations

1286 Copper Creek Dr
Pleasant Hill, IA 50327
Phone (515) 263-1414

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
122300000X
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

1286 Copper Creek Dr
Pleasant Hill, IA 50327-7000

Mailing address

40 Main St Ste 100
Dubuque, IA 52001-7654
Phone (563) 582-1448

Other names

  • Lakeside Dental Doing business as

Other providers in Pleasant Hill, IA

All providers in Pleasant Hill, IA · General Practice Dentistry in Iowa

Sources for this page

Verify at the official NPI Registry.