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CORNERSTONE DENTAL OF CLIVE LLC NPI 1285056382


NPI Information

NPI: 1285056382
Provider Name: CORNERSTONE DENTAL OF CLIVE LLC

Doing Business As: CORNERSTONE DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
11088 HICKMAN RD
CLIVE, IA
ZIP 50325
Phone: (515) 984-6001
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CORNERSTONE DENTAL OF CLIVE LLC is a dental clinic center in Clive, IA. CORNERSTONE DENTAL OF CLIVE LLC NPI is 1285056382. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornerstone Dental.

The provider's business location address is:

11088 HICKMAN RD
CLIVE, IA
ZIP 50325-740
Phone: (515) 984-6001

The provider's authorized official is Ryan Hussong .
The authorized official title is Owner and has the following contact phone number (515) 984-6001.

The enumeration date for this NPI number is 1/9/2014 and was last updated on 2/4/2014.


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
1261QD0000XClinic/CenterDentalYes

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

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