Eldora Family Dentistry, LLC
Organization Active NPI Dental Clinic/Center · Eldora, IA
NPI 1699294181 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1699294181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- DDS09191 (IA)
- Legal business name
- ELDORA FAMILY DENTISTRY, LLC
- Practice address
- 1310 Washington St
Eldora, IA 50627-1631 - Phone
- (641) 939-3214
- NPI assigned
- Sep 15, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Dan Scarrow, DDS
- Title
- Owner
- Phone
- (641) 425-6042
Practitioners 1
-
Dean Stickrod, DDS
National Provider Directory
Locations
1310 Washington St
Eldora, IA 50627
Phone (614) 939-3214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DDS09191 | IA | Yes |
Addresses
Primary practice location
1310 Washington St
Eldora, IA 50627-1631
Mailing address
1310 Washington St
Eldora, IA 50627-1631
Phone (641) 939-3214
Other providers in Eldora, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.