Nadeen Altaie, DDS
Individual provider Active NPI Dentist · Fort Dodge, IA
NPI 1710503255 · NPPES record last updated Jun 21, 2020
Key facts
- NPI
- 1710503255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DDS-09768 (IA)
- Practice address
- 1905 N 15TH St
Fort Dodge, IA 50501-7604 - Phone
- (515) 573-7601
- NPI assigned
- Jun 21, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09768 | IA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-09768 | IA | Yes |
Addresses
Primary practice location
1905 N 15TH St
Fort Dodge, IA 50501-7604
Mailing address
1905 N 15TH St
Fort Dodge, IA 50501-7604
Phone (515) 573-7601
Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2020. 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.