Healthcare Provider Details

I. General information

NPI: 1326205436
Provider Name (Legal Business Name): JOINER AND ZWART DENTAL PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 02/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 ALBANY AVE SE SUITE 3
ORANGE CITY IA
51041-1715
US

IV. Provider business mailing address

123 ALBANY AVE SE SUITE 3
ORANGE CITY IA
51041-1715
US

V. Phone/Fax

Practice location:
  • Phone: 712-737-3521
  • Fax: 712-737-4891
Mailing address:
  • Phone: 712-737-3521
  • Fax: 712-737-4891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY D JOINER
Title or Position: OWNER
Credential: DDS
Phone: 712-737-3521