Healthcare Provider Details

I. General information

NPI: 1053312595
Provider Name (Legal Business Name): DANIELLE PAIGE WINGROVE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE PAIGE STIEGEMEIER DDS

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 NEWTON RD
IOWA CITY IA
52242-1001
US

IV. Provider business mailing address

322 DENTAL SCIENCE BLDG S
IOWA CITY IA
52242-1001
US

V. Phone/Fax

Practice location:
  • Phone: 319-335-7440
  • Fax: 319-335-7451
Mailing address:
  • Phone: 319-335-7440
  • Fax: 319-335-7451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberD10911
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number08295
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number08295
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number12600945-9921
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number30-022494
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: