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Active NPI 1053774562 Organization (Entity Type 2)

Sergeant Bluff Smiles

Dentist - General Practice • Sergeant Bluff, IA

About Sergeant Bluff Smiles NPI 1053774562 Summary

Sergeant Bluff Smiles is a verified healthcare organization specializing in Dentist - General Practice operating in Sergeant Bluff, IA. Located at 104 PORT NEAL RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1053774562.

Administrative operations and authorized compliance are overseen by Laura Giese (Dentist).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

104 Port Neal Rd

Sergeant Bluff, IA 510548097

Telephone 7129434746

Authorized Official Information

Authorized Contact Name

DR. Laura Giese

Title / Role

Dentist

Official Telephone

7129434746

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Dentist

Sergeant Bluff, IA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active April 01, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 01, 2016

Registered at 104 PORT NEAL RD, SERGEANT BLUFF, IA 510548097 (Tel: 7129434746)

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Updated Business Mailing Address April 01, 2016

Registered at 104 PORT NEAL RD, SERGEANT BLUFF, IA 510548097 (Tel: 7129434746)

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Organization / Clinic Name Updated April 01, 2016

Operating as SERGEANT BLUFF SMILES

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2016

Dentist (License #08538 in IA)

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Initial NPI Registration & Enumeration April 01, 2016

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1053774562
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 01, 2016
Last Update: April 01, 2016

Mailing Address

104 Port Neal Rd

Sergeant Bluff, IA 510548097

Phone: 7129434746

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.