DR. NICHOLAS JEFFREY EILERTSON (NPI# 1275845505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275845505 |
Entity Type | Individual |
Full Name | DR. NICHOLAS JEFFREY EILERTSON |
Credential | D.D.S. |
Practice Address |
118 S Main St Clarksville IA 50619-2008 |
Mailing Address |
905 Franklin St Waterloo IA 50703-4407 |
Practice Telephone | 3198743170 |
Practice Fax Number | 3198743179 |
Mailing Telephone | 3198743000 |
Mailing Fax Number | 3198743411 |
Enumeration Date | 2010-07-01 |
Last Update Date | 2018-04-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
08741 | IA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0076372 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
118 S Main St, Clarksville, IA 506192008 | 3198743170 | 3198743179 |
Street Address |
118 S MAIN ST |
City | CLARKSVILLE |
State | IA |
Zip Code | 50619-2008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972986081 | Courtney Hoelscher | Nurse Practitioner | 118 S Main St, Clarksville, IA 50619-2008 | 2015-07-07 |
1194969238 | Peoples Community Health Clinic, Inc | Clinic/Center | 118 S Main St, Clarksville, IA 50619-2008 | 2009-04-20 |
1104073428 | Leeann Hoodjer | Nurse Practitioner | 118 S Main St, Clarksville, IA 50619-2008 | 2008-08-19 |
1417945072 | Sharon Duclos | Family Medicine | 118 S Main St, Clarksville, IA 50619-2008 | 2005-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003952953 | Richard Leroy Pflepsen | Chiropractor | 116 S. Main, Clarksville, IA 50619 | 2007-01-29 |
1568511053 | Clarksville Community School District | Local Education Agency (LEA) | 318 N Mather Street, Clarksville, IA 50619 | 2007-01-10 |
1285720458 | City of Clarksville | Ambulance | 115 W Superior, Clarksville, IA 50619 | 2006-10-05 |
1194887919 | Allimont Pharmacies Inc | Pharmacy | 111 S. Main St., Clarksville, IA 50619 | 2006-12-15 |
1265516801 | Community Nursing Home Inc | Custodial Care Facility | 115 N Hilton, Clarksville, IA 50619 | 2006-10-24 |
1912378035 | Nashua Family Chiropractic PC | Chiropractor | 109 S Main St, Clarksville, IA 50619-2022 | 2015-10-15 |
1962801019 | Opportunity Therapy LLC | Physical Therapist | 103 S Main St, Clarksville, IA 50619-2022 | 2014-08-14 |
1538228903 | Teresa Negen | Physical Therapist | 103 S Main St, Clarksville, IA 50619-2022 | 2006-12-08 |
1609189976 | Valerie J Chesnut | Counselor | 121 W Weare St, Clarksville, IA 50619-7933 | 2010-07-15 |
1952307472 | Community Nursing Home Inc | Home Delivered Meals | 115 N Hilton, Clarksville, IA 50619-7936 | 2005-06-21 |
Find all providers in zip 50619 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013553916 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 2766 Wilma Rudolph Blvd Ste A2, Clarksville, TN 37040-5810 | 2019-11-26 |
1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
1659732980 | George A Bare Jr Dmd Pllc | Dentist | 237 Dunbar Cave Rd, Suite A, Clarksville, TN 37043-8852 | 2016-03-15 |
1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
1639564628 | Hower Dental Pllc | Dentist | 1011 Highway 76 Ste B, Clarksville, TN 37043-2531 | 2015-04-06 |
1659774040 | Tennessee Dental Professionals PC | Dentist | 2207 Lowes Dr W Ste A, Clarksville, TN 37040-6964 | 2014-09-30 |
1528494432 | Jeffrey Trembley | Dentist | 1502 Tiny Town Rd, Suite A, Clarksville, TN 37042 | 2013-09-24 |
1407281868 | Mortenson Family Dental Center- Clarksville | Dentist | 1240 Veterans Pkwy, Suite 100, Clarksville, IN 47129-2394 | 2013-09-04 |
1184911539 | Nina Ferrell Biggs | Dentist | 2289 Rudolphtown Road, Suite A, Clarksville, TN 37043 | 2011-07-06 |
1891085775 | Cdp LLC | Dentist | 513 E Lewis and Clark Pkwy, Clarksville, IN 47129-1729 | 2011-04-13 |
Find all providers in CLARKSVILLE |
City | CLARKSVILLE |
Zip Code | 50619 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.