Healthcare Provider Details

I. General information

NPI: 1811822554
Provider Name (Legal Business Name): COLLIN SEXTON D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 N 15TH ST
FORT DODGE IA
50501-7604
US

IV. Provider business mailing address

1020 N 31ST ST
FORT DODGE IA
50501-2918
US

V. Phone/Fax

Practice location:
  • Phone: 515-220-1732
  • Fax:
Mailing address:
  • Phone: 515-928-7758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS-10482
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: