Clinton Dental Surgery Center, P.C.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

06659 Issued in IA

Legal business name

CLINTON DENTAL SURGERY CENTER, P.C.

Practice address

2314 N 2ND St
Clinton, IA 52732-2434

Phone

(563) 242-1565

Fax

(563) 242-0095

NPI assigned

May 6, 2008

Last updated

May 6, 2008By 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

Dr. Robert M Alt, DDSNPI 1366458051

Title

Corporate V.P. and Sec

Phone

(563) 242-1565

Specialties & licenses 1

Addresses

Locations

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.

• Robert Michael Alt, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Clinton, IA
  • NPI 1366458051
  Authorized official Same address or phone

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1730355033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 N 2ND ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322434",
            "telephone_number": "563-242-1565",
            "fax_number": "563-242-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 N 2ND ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322434",
            "telephone_number": "563-242-1565",
            "fax_number": "563-242-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON DENTAL SURGERY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "ALT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CORPORATE V.P. AND SEC",
        "authorized_official_telephone_number": "563-242-1565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "06659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Back & Neck Care Center
• Clinton Back and Neck Family Wellness, PC
• Clinton Community School District
• Clinton County Case Management
• Clinton Dental Associates PC
• Clinton Emergency Room Associates
• Clinton Imaging Services, LLC
• Clinton Medical Clinic Pharmacy Inc
• Clinton Municipal Transit
• Clinton Opco LLC

• Oral and Maxillofacial Surgery Clinic/Center in Clinton, IA
• Providers in Clinton, IA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.