DR. KENNETH JOHN EGANHOUSE


Address: 227 W 4th St, Suite 2c, Ottumwa, IA 52501-2544
Phone: 6416840215

DR. KENNETH JOHN EGANHOUSE (NPI# 1386772085) 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) 1386772085
Entity Type Individual
Full Name DR. KENNETH JOHN EGANHOUSE
Credential D.D.S., M.S.
Practice Address 227 W 4th St
Suite 2c
Ottumwa
IA 52501-2544
Mailing Address 1636 Plum Thicket Ln
West Des Moines
IA 50266-6603
Practice Telephone 6416840215
Mailing Telephone 5152222627
Enumeration Date 2007-03-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
7194 IA Dental Providers

Office Location

Street Address 227 W 4TH ST
SUITE 2C
City OTTUMWA
State IA
Zip Code 52501-2544

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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235669615 Sima Zitouni Dentist 320 Mckenzie Ave Ste 207, Council Bluffs, IA 51503-1002 2017-06-18
1730595463 Sarah Rinehart Dentist 1517 Mall Dr, Iowa City, IA 52240-3111 2014-07-02
1366878308 Theodoros Katsaros Dentist 446 Dental Science Bldg S, Iowa City, IA 52242-1001 2013-09-23
1730487224 Gustavo Avila Ortiz Dentist 322 Dental Science Bldg. S445, S445, Iowa City, IA 52242-1001 2011-03-07
1992951552 Bill Campbell Rubright Dentist 31 Forest Hill Pl Ne, Iowa City, IA 52240-9125 2008-08-14
1205094570 Parkway Periodontal Group PC Dentist 4090 Westown Parkway #a-4, West Des Moines, IA 50266 2008-05-23
1962660274 Satheesh Elangovan Dentist 322 S. Dental Science Bldg, Iowa City, IA 52242-1001 2008-05-23
1992992291 John Delbert Tingey Dentist 1800 Calvin Ct Apt 3, Iowa City, IA 52246-3102 2007-10-01
1740485598 Keelen Tymkiw Dentist University of Iowa, College of Dentistry, Periodontics, S450 Dsb, Iowa City, IA 52242 2007-06-20
1376755520 Michael Ryan Franzman Dentist 1800 E. 54th St., Suite A, Davenport, IA 52807 2007-05-03
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Competitor

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City OTTUMWA
Zip Code 52501

Improve Information

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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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