Family First Dental Associates of Primghar, P.C.

Organization Active NPI General Practice Dentistry · Onawa, IA

NPI 1982949350 · NPPES record last updated Apr 19, 2016

Key facts

NPI
1982949350
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.
Practice address
909 Iowa Ave
Onawa, IA 51040-1631
Phone
(712) 433-3937
Fax
(712) 433-1493
NPI assigned
Dec 11, 2012
Organization subpart
No

Authorized official

Name
Dr. Charles S Skoglund, DDS
Title
Owner
Phone
(402) 644-3177

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

909 Iowa Ave
Onawa, IA 51040
Phone (712) 433-3937

909 Iowa Ave
#28
Onawa, IA 51040

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

909 Iowa Ave
Onawa, IA 51040-1631

Mailing address

909 Iowa Ave
Box 28
Onawa, IA 51040-1631
Phone (712) 433-3937

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 19, 2016.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1982949350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 IOWA AVE",
            "address_2": "BOX 28",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401631",
            "telephone_number": "712-433-3937",
            "fax_number": "712-433-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 IOWA AVE",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401631",
            "telephone_number": "712-433-3937",
            "fax_number": "712-433-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST DENTAL ASSOCIATES OF PRIMGHAR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "SKOGLUND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-644-3177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onawa, IA

All providers in Onawa, IA · General Practice Dentistry in Iowa

Sources for this page

Verify at the official NPI Registry.