Healthcare Provider Details

I. General information

NPI: 1730101890
Provider Name (Legal Business Name): DARRELL GINSBERG D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 E MAIN ST
MANCHESTER IA
52057-1838
US

IV. Provider business mailing address

13723 76TH AVE
FLUSHING NY
11367-2817
US

V. Phone/Fax

Practice location:
  • Phone: 563-927-5415
  • Fax:
Mailing address:
  • Phone: 917-515-9322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS-09620
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: