Healthcare Provider Details

I. General information

NPI: 1861314593
Provider Name (Legal Business Name): DENTAL TEMP SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 4TH ST
MONTEZUMA IA
50171-1031
US

IV. Provider business mailing address

301 S 4TH ST
MONTEZUMA IA
50171-1031
US

V. Phone/Fax

Practice location:
  • Phone: 641-623-5100
  • Fax: 641-328-8851
Mailing address:
  • Phone: 641-623-5100
  • Fax: 641-328-8851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: HEATHER EILANDER
Title or Position: OWNER
Credential: RDH
Phone: 641-623-5100