Overturff, Clyde Daniel

Overturff, Clyde Daniel is an individual health care provider with primary practice located at 204 N Arcade St , Maquoketa IA 52060. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Overturff, Clyde Daniel can be contacted via phone (563) 652-2553.

Contact Information

Primary practice address
204 N Arcade St Maquoketa IA 52060
Phone: (563) 652-2553
Fax: (563) 652-9816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 06334 Iowa

Profile Details

NPI number 1598817173
LBN Legal business name Overturff, Clyde Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598817173 NPPES
Iowa MEDICAID 0155549

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