MEDICARE: DR. JAMES A KOUBA 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
1	122300000X	Dentist		IA

General Provider Information

NPI Number	:	1356345144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES A KOUBA D.D.S.

Provider Business Mailing Address
First Line	:	107 S PINE ST
Second Line	:
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1519
Country	:	US
Telephone Number	:	641-664-1121
Fax Number	:	641-664-2107

Provider Business Practice Location Address
First Line	:	107 S PINE ST
Second Line	:
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1519
Country	:	US
Telephone Number	:	641-664-1121
Fax Number	:	641-664-2107

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1588707921 — JAMES A. KOUBA, D.D.S., P.C.
Practice Location Address:

107 S PINE ST
BLOOMFIELD, IA
52537-1519

Practice Phone: 641-664-1121
Practice Fax: 641-664-2107

1184623985 — DR. DONALD RICHARD WIRTANEN D.O.
Practice Location Address:

202 N MADISON ST
BLOOMFIELD, IA
52537-1425

Practice Phone: 641-664-1400
Practice Fax: 641-664-1410

1760482426 — MRS. DIANNE KAY KNAPP ARNP
Practice Location Address:

509 N MADISON ST
BLOOMFIELD, IA
52537-1271

Practice Phone: 641-664-3832
Practice Fax:

1174525760 — ABCM CORPORATION
Practice Location Address:

800 N DAVIS ST
BLOOMFIELD, IA
52537-1107

Practice Phone: 641-664-2699
Practice Fax: 641-664-2929

1346242930 — ABCM CORPORATION
Practice Location Address:

11 DEBORAH DR
BLOOMFIELD, IA
52537-1174

Practice Phone: 641-664-2523
Practice Fax:

1396738902 — MARY L GRAEFF MD
Practice Location Address:

509 N MADISON ST
BLOOMFIELD, IA
52537-1271

Practice Phone: 641-664-3832
Practice Fax: 641-664-1857

Directions to “ DR. JAMES A KOUBA D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.