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NPI Code Detail

MEDICARE: DR. CODY KRIEGEL D.D.S.

MEDICARE: DR. CODY KRIEGEL 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
11223G0001XGeneral Practice DentistryDDS-09207IA

General Provider Information

NPI Number : 1992186068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CODY KRIEGEL D.D.S.
Provider Business Mailing Address
First Line : 5449 SEVEN HILLS RD
Second Line :
City : COGGON
State : IA
Zip : 52218-9722
Country : US
Telephone Number : 319-213-0212
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 : 319-248-7816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2015
Last Update Date : 06/15/2015

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