Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073757910 Individual Practitioner Male Practitioner

Dr. Brian Lee Bouck , DDS

Dentist - General Practice • Waterloo, IA

Professional Overview & Biography Verified Profile Summary

Dr. Brian Bouck, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waterloo, IA. Practice services are available at 315 E SAN MARNAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

315 E San Marnan Dr

Waterloo, IA 507025837

Telephone 3192356287
Associated Practice Facility / Clinic
🏢 Kpt Llc Facility NPI 1164738027

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Waterloo, 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 6490

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Melanie Zasadny , DDS

Dentist - General Practice

NPI 1255062659

Doctor of Dental Surgery

Dr. Kate Kragenbrink , DDS

Dentist - General Practice

NPI 1508544198

Doctor of Dental Surgery

Dr. Eric Kimball , DDS

Dentist - General Practice

NPI 1639180920

Doctor of Dental Surgery

NPI 1720973704

Doctor of Dental Surgery

NPI 1790601953

Doctor of Dental Surgery

Dr. Beau Beecher , DDS

Dentist - General Practice

NPI 1912918269

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 April 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2009

Registered at 315 E SAN MARNAN DR, WATERLOO, IA 507025837 (Tel: 3192356287)

📍
Updated Business Mailing Address April 22, 2009

Registered at 315 E SAN MARNAN DR, WATERLOO, IA 507025837 (Tel: 3192356287)

👤
Provider Name / Credentials Updated April 22, 2009

Recorded as BRIAN BOUCK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2009

Dentist (License #6490 in IA)

🟢
Initial NPI Registration & Enumeration April 22, 2009

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: 1073757910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2009
Last Update: April 22, 2009
Sole Proprietor: No

Mailing Address

315 E San Marnan Dr

Waterloo, IA 507025837

Phone: 3192356287

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.