LECLAIRE FAMILY DENTISTRY NPI 1053643460

NPI Information

NPI: 1053643460
Provider Name: LECLAIRE FAMILY DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 16D2269825

Address:
126 S CODY RD
LE CLAIRE, IA
ZIP 52753
Phone: (563) 289-3249
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LECLAIRE FAMILY DENTISTRY is a dental clinic center in Le Claire, IA. LECLAIRE FAMILY DENTISTRY NPI is 1053643460. The provider is registered as an organization entity type.

The provider's business location address is:

126 S CODY RD
LE CLAIRE, IA
ZIP 52753-236
Phone: (563) 289-3249

The provider's authorized official is Michael Stecher .
The authorized official title is Owner and has the following contact phone number (319) 541-4087.

The CLIA number assigned to this NPI record is 16D2269825 - other - non-transport fire dept with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2010 and was last updated on 2/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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