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NPI Code Detail

MEDICARE: DR. PAUL HARVEY READHEAD DDS

MEDICARE: DR. PAUL HARVEY READHEAD DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist05716IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215198197
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL HARVEY READHEAD DDS
Provider Business Mailing Address
First Line : 2720 STANGE RD
Second Line :
City : AMES
State : IA
Zip : 50010-3974
Country : US
Telephone Number : 515-268-0516
Fax Number : 515-268-9161
Provider Business Practice Location Address
First Line : 2720 STANGE RD
Second Line :
City : AMES
State : IA
Zip : 50010-3974
Country : US
Telephone Number : 515-268-0516
Fax Number : 515-268-9161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2008
Last Update Date : 06/23/2008

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Directions to “ DR. PAUL HARVEY READHEAD DDS” Practice Location

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