OrganizationActive
Pediatric Dentristry of Coralville Inc
NPI 1003823113 · Pediatric Dentistry · Coralville, IA
Pediatric Dentristry of Coralville Inc is a Pediatric Dentistry organization in Coralville, IA (NPI 1003823113).
Provider details
- NPI number
- 1003823113
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Polly Iben, Owner(319) 338-7520
- License
- 07894 (IA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
414 10th Ave
Ste B
Coralville, IA 52241
Phone: (319) 338-7520
Fax: (319) 351-5730
Street-level locationGet directions
Mailing address
414 10th Ave
Coralville, IA 52241
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Dentristry of Coralville Inc's NPI number?
- Pediatric Dentristry of Coralville Inc's National Provider Identifier (NPI) is 1003823113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentristry of Coralville Inc?
- Pediatric Dentristry of Coralville Inc is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentristry of Coralville Inc located?
- Pediatric Dentristry of Coralville Inc's practice location on file with NPPES is 414 10th Ave, Coralville, IA 52241.
- What is Pediatric Dentristry of Coralville Inc's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentristry of Coralville Inc is (319) 338-7520.
- Who is the authorized official for Pediatric Dentristry of Coralville Inc?
- The authorized official listed on Pediatric Dentristry of Coralville Inc's NPPES record is Polly Iben, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentristry of Coralville Inc's NPI active?
- Yes — Pediatric Dentristry of Coralville Inc's NPI (1003823113) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.