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Applewhite Dental Iowa PC

Organization Active NPI General Practice Dentistry · Cedar Rapids, IA

NPI 1629638523 · NPPES record last updated Jul 29, 2019

Key facts

NPI
1629638523
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
APPLEWHITE DENTAL IOWA PC
Practice address
4250 Glass Rd NE Ste 220
Cedar Rapids, IA 52402-2500
Phone
(319) 395-7207
Fax
(319) 395-0143
NPI assigned
Jun 13, 2019
Organization subpart
Yes
Parent organization (as reported)
APPLEWHITE DENTAL IOWA PC

Authorized official

Name
Sharon L Loso
Title
Credentialing Specialist
Phone
(563) 552-0058

Corporate family (same tax ID) 23

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

Practitioners 1

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

4250 Glass Rd NE
Ste 220
Cedar Rapids, IA 52402
Phone (319) 395-7207

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

4250 Glass Rd NE Ste 220
Cedar Rapids, IA 52402-2500

Mailing address

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

Other names

  • Glass Road Family Dentistry Doing business as

Other providers in Cedar Rapids, IA

All providers in Cedar Rapids, IA · General Practice Dentistry in Iowa

Sources for this page

Verify at the official NPI Registry.