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NPI Code Detail

MEDICARE: DR. BENJAMIN DONALD POSPISIL D.D.S.

MEDICARE: DR. BENJAMIN DONALD POSPISIL D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry08264IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
201273OTHERIABLUE CROSS BLUE SHIELD
31777565OTHERIAUNITED CONCORDIA

General Provider Information

NPI Number : 1225119878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN DONALD POSPISIL D.D.S.
Provider Business Mailing Address
First Line : 107 1ST ST NE
Second Line :
City : MOUNT VERNON
State : IA
Zip : 52314-1422
Country : US
Telephone Number : 319-895-6490
Fax Number : 319-895-6485
Provider Business Practice Location Address
First Line : 107 1ST ST NE
Second Line :
City : MOUNT VERNON
State : IA
Zip : 52314-1422
Country : US
Telephone Number : 319-895-6490
Fax Number : 319-895-6485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 07/09/2007

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