Healthcare Provider Details

I. General information

NPI: 1710665435
Provider Name (Legal Business Name): MARGARET ROHRBECK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 09/14/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 SE UNIVERSITY AVE
WAUKEE IA
50263-8831
US

IV. Provider business mailing address

1250 SE UNIVERSITY AVE
IOWA CITY IA
50266
US

V. Phone/Fax

Practice location:
  • Phone: 515-650-6378
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDDS-10148
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: