Healthcare Provider Details

I. General information

NPI: 1861311128
Provider Name (Legal Business Name): MARIE ANN DAY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 AVENUE G
COUNCIL BLUFFS IA
51501-2516
US

IV. Provider business mailing address

1216 BELLAIRE BLVD
BELLEVUE NE
68005-3607
US

V. Phone/Fax

Practice location:
  • Phone: 712-325-1544
  • Fax:
Mailing address:
  • Phone: 402-943-7401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS-10525
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: