Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376625764 Individual Practitioner Male Practitioner

Dr. Douglass J Soseman , DDS

Dentist - General Practice • Denison, IA

Professional Overview & Biography Verified Profile Summary

Dr. Douglass Soseman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Denison, IA. Practice services are available at 1415 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1415 Broadway

Denison, IA 514422052

Telephone 7122635615
Fax 7122638124
Associated Practice Facility / Clinic
🏢 Broadway Dental Llc Facility NPI 1790816817

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Denison, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Denison, IA (1303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 06657

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1184978 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kristi Ouderkirk-Bock , DDS

Dentist - General Practice

NPI 1336437466

Doctor of Dental Surgery

Dr. Jessica Martens , DDS

Dentist - General Practice

NPI 1629418488

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1415 BROADWAY, DENISON, IA 514422052 (Tel: 7122635615)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1415 BROADWAY, DENISON, IA 514422052 (Tel: 7122635615)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLASS SOSEMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #06657 in IA)

🟢
Initial NPI Registration & Enumeration October 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376625764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1415 Broadway

Denison, IA 514422052

Phone: 7122635615

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.