Stater Dental | |
112 N 10th St Centerville IA 52544-1730 | |
(641) 856-8643 | |
Not Available |
Full Name | Stater Dental |
---|---|
Speciality | Dentist |
Location | 112 N 10th St, Centerville, Iowa |
Authorized Official Name and Position | Craig Douglas Stater (DENTIST) |
Authorized Official Contact | 6418568643 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stater Dental 112 N 10th St Centerville IA 52544-1730 Ph: (641) 856-8643 | Stater Dental 112 N 10th St Centerville IA 52544-1730 Ph: (641) 856-8643 |
NPI Number | 1720478878 |
---|---|
Provider Enumeration Date | 01/28/2015 |
Last Update Date | 01/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720478878 | NPI | - | NPPES |
1821160755 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DDS-06366 (Iowa) | Primary |
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› Verified 7 days ago
Ron M. Harshman, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 W Jackson St, Centerville, IA 52544 Phone: 641-856-5352 Fax: 641-856-2770 |