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Dental Office — NPI 1063670149, Odebolt, IA | NPI Central

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NPI 1063670149

OrganizationActive

Dental Office

NPI 1063670149 · Dentist · Odebolt, IA

Provider details

NPI number: 1063670149
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Thad Thompson, Partner(712) 668-2219
License: 06795 (IA)

Specialties & taxonomies

DentistPrimary122300000XLicense 06795 (IA)
Dental Providers

Practice location

300 S Main St

Odebolt, IA 51458-7719

Phone: (712) 668-2219

Approximate (ZIP-level) locationGet directions

More IA providers

Mailing address

300 S Main

Odebolt, IA 51458-0660

Registry dates

Enumerated: 2008-05-27
Last updated: 2008-05-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.