Pediatric Dentristry Of Coralville Inc
Pediatric Dental Clinic
414 10th Ave, Ste B, Coralville
Iowa, 52241
319-338-7520 319-351-5730
Maps & DirectionsPediatric Dentristry Of Coralville Inc is a Pediatric Dental Clinic in Coralville, Iowa. It is located at 414 10th Ave, Ste B, Coralville, IA and its contact number is 319-338-7520. The authorized person for Pediatric Dentristry Of Coralville Inc is Dr. Polly Iben
who is Owner of the clinic and their contact number is 319-338-7520. The primary license number for Pediatric Dentristry Of Coralville Inc is 07894 (Pediatric Dentistry) in Iowa.
Pediatric Dentristry Of Coralville Inc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pediatric Dentristry Of Coralville Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pediatric Dentristry Of Coralville Inc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 414 10th Ave, Ste B, Coralville,
Iowa, 52241 |
| Phone: | 319-338-7520 |
| Fax: | 319-351-5730 |
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: | Dr. Polly Iben |
| Position: | Owner |
| Contact Number: | 319-338-7520 |
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 Pediatric Dentristry Of Coralville Inc clinic are as mentioned below.
| NPI Number: | 1003823113 |
| NPI Enumeration Date: | 02 Aug, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dentristry Of Coralville Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 07894 | 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 |
| 2188144 | 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: | Pediatric Dentristry Of Coralville Inc
414 10th Ave, Ste B
Coralville, Iowa |
| Zip: | 52241 |
| Phone Number: | 319-338-7520 |
| Fax Number: | 319-351-5730 |
Patients can reach Pediatric Dentristry Of Coralville Inc at
414 10th Ave, Ste B, Coralville, Iowa or can
call to book an appointment on 319-338-7520.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.