is a Oral and Maxillofacial Dental Clinic in Fort Dodge, Iowa. It is located at 804 Kenyon Rd, Ste 120, Fort Dodge, IA and its contact number is 515-576-8727. The authorized person for is Elizabeth Schrauth
who is Office Manager of the clinic and their contact number is 515-576-8727. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
804 Kenyon Rd, Ste 120, Fort Dodge, Iowa, 50501-5742
Phone:
515-576-8727
Fax:
515-576-7076
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Elizabeth Schrauth
Position:
Office Manager
Contact Number:
515-576-8727
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1841324084
NPI Enumeration Date:
16 Mar, 2007
NPI Last Update On:
29 Dec, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
Iowa
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1165050
Medicaid
Iowa
0438101
Medicaid
Iowa
1095471
Medicaid
Iowa
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
804 Kenyon Rd Ste 120, Fort Dodge, Iowa
Zip:
50501-5746
Phone Number:
515-576-8727
Fax Number:
515-576-7076
Patients can reach at 804 Kenyon Rd, Ste 120, Fort Dodge, Iowa or can call to book an appointment on 515-576-8727. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.