MEDICARE: ZACHARIAH J DANNENBRING D.D.S

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
1	122300000X	Dentist	08499	IA

General Provider Information

NPI Number	:	1598951261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARIAH J DANNENBRING D.D.S

Provider Business Mailing Address
First Line	:	801 NEWTON RD
Second Line	:	UNIVERSITY OF IOWA COLLEGE OF DENTISTRY
City	:	IOWA CITY
State	:	IA
Zip	:	52242-7227
Country	:	US
Telephone Number	:	319-335-7373
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 NEWTON RD
Second Line	:	UNIVERSITY OF IOWA COLLEGE OF DENTISTRY
City	:	IOWA CITY
State	:	IA
Zip	:	52242-7227
Country	:	US
Telephone Number	:	319-335-7373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2007
Last Update Date	:	09/17/2007

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