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NPI Code Detail

MEDICARE: DR. JODIE ALAN BUEHLER DDS

MEDICARE:  DR. JODIE ALAN BUEHLER  DDS
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 Dentistry07436IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700881570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JODIE ALAN BUEHLER DDS
Provider Business Mailing Address
First Line : 705 NORTH MAIN STREET
Second Line : SUITE 3
City : CHARLES CITY
State : IA
Zip : 50616-2125
Country : US
Telephone Number : 641-228-2936
Fax Number : 641-257-6456
Provider Business Practice Location Address
First Line : 705 NORTH MAIN STREET
Second Line : SUITE 3
City : CHARLES CITY
State : IA
Zip : 50616-2125
Country : US
Telephone Number : 641-228-2936
Fax Number : 641-257-6456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 12/24/2007

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Directions to “ DR. JODIE ALAN BUEHLER DDS” Practice Location

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