Vidal Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VIDAL FAMILY DENTISTRY

Practice address

160 W 4TH St
Garner, IA 50438-1329

Phone

(641) 923-2294

NPI assigned

Jun 13, 2022

Last updated

Jun 13, 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

Shelly Reece

Title

Office Manager

Phone

(641) 923-2294

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.

• Peter L. Vidal, D.D.S

  • General Practice Dentistry
  • Garner, IA
  • NPI 1821147851
  NPD (past)

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1790415735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504380010",
            "telephone_number": "641-923-2294",
            "fax_number": "641-923-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W 4TH ST",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504381329",
            "telephone_number": "641-923-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDAL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "641-923-2294"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Nicole Smith, ATC
• John Lee Steenblock
• Roy A Tesene, DDS
• Kendra S Ulicki, ANRP
• Alexander P Vangerpen, DDS
• Peter L. Vidal, D.D.S
• Cassie J Wagner, NP
• Scott Bradley Wood, D.C.
• Deena Marie Zadow, ARNP
• Hilary Zrostlik, ARNP

• General Practice Dentistry in Garner, IA
• Providers in Garner, 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 Jun 13, 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.