OrganizationActive
Eastern Iowa Periodontics, PC
NPI 1083947667 · Periodontics · Coralville, IA
Provider details
- NPI number
- 1083947667
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Adrienne Gunstream, Periodontist(319) 351-5439
- License
- 08614 (IA)
Specialties & taxonomies
Dental Providers
Practice location
501 12th Ave
Suite 202
Coralville, IA 52241-1774
Phone: (319) 351-5439
Fax: (319) 354-0491
Approximate (ZIP-level) locationGet directions
Mailing address
501 12th Ave
Coralville, IA 52241-1774
Registry dates
- Enumerated
- 2009-09-14
- Last updated
- 2009-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.