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General NPI Number Information
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NPI Number | 1235483280
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Entity Type | Organization
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Legal Business Name | NE IOWA DENTAL ASSOCIATES PC
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 135 7TH ST. SE
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City | OELWEIN
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State | IA
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Zip | 50662-2811
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Country | US
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Telephone | 319-283-4222
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Fax | 319-283-5686
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Provider Business Mailing Address
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Address Line | 135 7TH ST. SE
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City | OELWEIN
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State | IA
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Zip | 50662-2811
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Country | US
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Telephone | 319-283-4222
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Fax | 319-283-5686
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Authorized Official
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Title or Position | OWNER
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Name | ADAM KRUGER
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Credential | DDS
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Telephone | 319-283-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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