Sergeant Bluff Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08345 Issued in IA

Legal business name

SERGEANT BLUFF DENTAL, PC

Doing business as

Sergeant Bluff Dental

Practice address

703 1St St
PO Box 280
Sergeant Bluff, IA 51054

Phone

(712) 943-4242

Fax

(712) 943-4243

NPI assigned

Aug 23, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee L Husen, DDSNPI 1164465779

Title

Owner

Phone

(712) 943-4242

Specialties & licenses 1

Addresses

Other names 1

• Sergeant Bluff Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renee L. Husen, D.D.S.

  • General Practice Dentistry
  • Sergeant Bluff, IA
  • NPI 1164465779
  Authorized official Same address or phone

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619494333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 1ST ST",
            "address_2": "PO BOX 280",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "51054",
            "telephone_number": "712-943-4242",
            "fax_number": "712-943-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 1ST ST",
            "address_2": "PO BOX 280",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "51054",
            "telephone_number": "712-943-4242",
            "fax_number": "712-943-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGEANT BLUFF DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUSEN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-943-4242",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sergeant Bluff Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Richard K Bokemper DDS PC
• Beverly Schuster
• Sergeant Bluff Dental, PLLC
• Sergeant Bluff Pharmacy Inc (Sergeant Bluff Pharmacy)
• Sergeant Bluff Smiles
• Sergeant Bluff-Luton Community School
• Shine for Health

• General Practice Dentistry in Sergeant Bluff, IA
• Providers in Sergeant Bluff, 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.