Healthcare Provider Details

I. General information

NPI: 1932288578
Provider Name (Legal Business Name): DENTAL HEALTH PARTNERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4245 1ST AVE SE
CEDAR RAPIDS IA
52402-3169
US

IV. Provider business mailing address

4245 1ST AVE SE
CEDAR RAPIDS IA
52402-3169
US

V. Phone/Fax

Practice location:
  • Phone: 319-365-4997
  • Fax: 319-365-6822
Mailing address:
  • Phone: 319-365-4997
  • Fax: 319-365-6822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS JOHN KRAL
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 319-365-4997