Elite Dental, P.C.

LBN: Elite Dental, P.C.
Elite Dental, P.C. is an health care organization with primary practice located at 1410 9Th St Se , Dyersville IA 52040-2335. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Elite Dental, P.C. can be contacted via phone (563) 875-8386, or through Koch-Womer, Julie Ann via phone (563) 875-8386.

Contact Information

Primary practice address
1410 9Th St Se Dyersville IA 52040-2335
Phone: (563) 875-8386
Fax: (563) 875-8386
Website:
Map and Directions
Authorized official contact:
Name: Koch-Womer, Julie Ann Doctor of Dental Surgery (DDS)
Phone: (563) 875-8386

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 08093 Iowa

Profile Details

NPI number 1134248826
LBN Legal business name Elite Dental, P.C.
DBA Doing business as
Authorized official Koch-Womer, Julie Ann Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134248826 NPPES
Iowa MEDICAID 1274142

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