OrganizationActive
Spring Park Oral and Maxillofacial Surgeons
NPI 1194784389 · Oral and Maxillofacial Surgery (Dentist) · Clinton, IA
Provider details
- NPI number
- 1194784389
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Martie Teshak, Manager(563) 359-1601
Specialties & taxonomies
Dental Providers
Practice location
407 S 4th St
Clinton, IA 52732-4512
Phone: (563) 243-4406
Fax: (563) 243-8534
Approximate (ZIP-level) locationGet directions
Mailing address
407 S 4th St
Clinton, IA 52732-4512
Registry dates
- Enumerated
- 2006-03-17
- 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.