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NPI Code Detail

MEDICARE: DR. GLENN D YOWELL DDS

MEDICARE:  DR. GLENN D YOWELL  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
11223G0001XGeneral Practice Dentistry08017IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
148911OTHERIABC/BS, DELTA DENTAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568424497
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLENN D YOWELL DDS
Provider Business Mailing Address
First Line : 2109 ROCHESTER AVE
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-3528
Country : US
Telephone Number : 319-338-0707
Fax Number : 319-337-4985
Provider Business Practice Location Address
First Line : 2109 ROCHESTER AVE
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-3528
Country : US
Telephone Number : 319-338-0707
Fax Number : 319-337-4985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 07/09/2007

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Directions to “ DR. GLENN D YOWELL DDS” Practice Location

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