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NPI Code Detail

MEDICARE: SCOTT KLEYMANN DDS

MEDICARE: SCOTT KLEYMANN 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
1122300000XDentistDDS-10003IA

General Provider Information

NPI Number : 1952036329
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT KLEYMANN DDS
Provider Business Mailing Address
First Line : 613 4TH AVE
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-2003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3605 CENTER POINT RD NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5571
Country : US
Telephone Number : 319-491-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2022
Last Update Date : 07/20/2022

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