OrganizationActive
Olympic Dentistry, PLC
NPI 1104036755 · Dental Clinic/Center · Waterloo, IA
Provider details
- NPI number
- 1104036755
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brent Ludens, Owner(319) 234-3233
- License
- 07466 (IA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 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
208 Olympic Dr
Waterloo, IA 50701-5240
Phone: (319) 234-3233
Fax: (319) 234-3879
Street-level locationGet directions
Mailing address
208 Olympic Drive
Waterloo, IA 50701-5240
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 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.