1235790155 NPI number — MASON CITY ENDODONTICS LLP

Table of content: (NPI 1235790155)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235790155 NPI number — MASON CITY ENDODONTICS LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MASON CITY ENDODONTICS LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235790155
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/02/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
266 TRILLIUM ST NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CONCORD
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28027-7205
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-644-9444
Provider Business Mailing Address Fax Number:
704-787-8587

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1530 S MONROE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MASON CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50401-5606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-530-2657
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/21/2019

Additional Information

Authorized Official

Authorized Official Last Name:
GELL
Authorized Official First Name:
MARENA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
641-530-2657

Provider Taxonomy Codes

  • Taxonomy code: 1223E0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1205990355 . This is a "PROVIDER INFORMATION" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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