DENTAL CARE BY THE SQUARE


Address: 1051 West Madison Street, Washington, IA 52353
Phone: 3196533412

DENTAL CARE BY THE SQUARE (NPI# 1306001110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306001110
Entity Type Organization
Organization Name DENTAL CARE BY THE SQUARE
Other Organization Name WASHINGTON DENTAL CARE
Practice Address 1051 West Madison Street
Washington
IA 52353
Practice Telephone 3196533412
Practice Fax Number 3196535511
Mailing Telephone 3196533412
Mailing Fax Number 3196535511
Enumeration Date 2008-07-21
Last Update Date 2019-03-01
Authorized Official Name SERGEY F FLORYANOVICH (OWNER)
Authorized Official Telephone 3196533412
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 305S00000X Point of Service 8563 IA Managed Care Organizations
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
Washington Dental Care Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities DENTAL CARE BY THE SQUARE, LLC 1051 W Madison Street, Washington, IA 52353

Office Location

Street Address 1051 WEST MADISON STREET
City WASHINGTON
State IA
Zip Code 52353

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1780701094 Kim D Malichky Pharmacist 528 S Hwy #1, Washington, IA 52353 2007-03-23
1154736916 Kelsey Renee Bayliss Pharmacist 222 S Iowa Ave, Washington, IA 52353 2014-06-30
1386914828 Michael C Mcgowan Nurse Anesthetist, Certified Registered 400 E Polk St, Washington, IA 52353 2011-12-30
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386261097 Kelechi Ononauju Okereke Dentist Howard University-college of Dentistry 600 W Street Nw, Washington, DC 20059-0001 2020-06-29
1013552223 Adam D Schwartz Dds PC Dentist 4545 Connecticut Avenue Nw Suite 419, Washington, DC 20008 2019-11-12
1700446010 Kurtis Schuyler Dentist 416 Elm St # 4, Washington, MO 63090-2310 2019-06-18
1033779459 4900 Dental Dentist 4900 Massachusetts Ave Nw Ste 200, Washington, DC 20016-4358 2019-06-18
1356909147 James Richard Young Dentist 64580 Van Dyke Rd Ste B, Washington, MI 48095-2811 2019-06-05
1871053165 Alyse Marie Knuth Dentist Pentagon, Corridor 8, Washington, DC 20002 2019-03-22
1841750189 Roman Moss Dentist 3000 Connecticut Ave Nw Ste 8, Washington, DC 20008-2542 2019-03-22
1538626734 Stylishsmile.pllc Dentist 2737 Devonshire Pl Nw Ste A&b, Washington, DC 20008-3479 2019-02-23
1760960165 District Dental Solutions Dentist 1140 19th St Nw Ste 220, Washington, DC 20036-6616 2018-07-30
1952817652 Sai N Kham Dmd Pllc Dentist 2021 K St Nw Ste 412, Washington, DC 20006-1003 2017-12-18
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Competitor

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City WASHINGTON
Zip Code 52353

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Dataset Information

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.

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