Healthcare Provider Details

I. General information

NPI: 1689774853
Provider Name (Legal Business Name): HOWARD GEORGE BELSHEIM DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 SOUTH NILE KINNICK DRIVE
ADEL IA
50003-1727
US

IV. Provider business mailing address

216 SOUTH NILE KINNICK DRIVE
ADEL IA
50003-1727
US

V. Phone/Fax

Practice location:
  • Phone: 515-993-4333
  • Fax: 515-993-6770
Mailing address:
  • Phone: 515-993-4333
  • Fax: 515-993-6770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7600
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: