DAVID M DETTMAN (NPI# 1801964739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801964739 |
| Entity Type | Individual |
| Full Name | DAVID M DETTMAN |
| Credential | D.D.S. |
| Practice Address |
804 Illinois Street Sidney IA 51652 |
| Mailing Address |
107 N 10th St Nebraska City NE 68410-2329 |
| Practice Telephone | 7123742029 |
| Mailing Telephone | 4028735040 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
5136 | NE | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6865 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0091421 | 05 | |
| NE | 470681388001 | 05 |
| Street Address |
804 ILLINOIS STREET |
| City | SIDNEY |
| State | IA |
| Zip Code | 51652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992906366 | Faith In Action Volunteers, Inc. | Taxi | 1003 Indiana St., Sidney, IA 51652 | 2007-05-31 |
| 1972643914 | Consultant Pharmacists Inc | Durable Medical Equipment & Medical Supplies | 714 Illinois Street, Sidney, IA 51652 | 2007-02-07 |
| 1265582589 | Fremont County Community Services | Case Manager/Care Coordinator | 414 Clay, Sidney, IA 51652 | 2007-01-11 |
| 1659395275 | Sidney Csd | Local Education Agency (LEA) | 2754 Knox Rd, Sidney, IA 51652 | 2006-07-27 |
| 1356690887 | Melissa Spencer Marshall | Nurse Practitioner | 802 Illinois St, Sidney, IA 51652 | 2012-08-30 |
| 1871566265 | Medical Clinic P.C. | Family Medicine | 313 Main St, Sidney, IA 51652 | 2006-02-08 |
| 1700941648 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-0217 | 2006-12-22 |
| 1891137436 | Americare Support Services | Assisted Living Facility | 2009 320th Ave, Sidney, IA 51652-6059 | 2013-07-24 |
| 1427570902 | Katrina Marie-ybay Lerette | Occupational Therapist | 115 Main St, Sidney, IA 51652-6069 | 2017-07-17 |
| 1902811276 | The Ambassador Sidney, Inc. | Occupational Therapist | 115 Main St, Sidney, IA 51652-6069 | 2006-07-29 |
| Find all providers in zip 51652 | ||||
| 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 |
|---|---|---|---|---|
| 1598146532 | Braden Galvin | Dentist | 1550 W Sidney Rd, Sidney, MI 48885 | 2015-06-16 |
| 1891996633 | Leasa Marie Dornbier | Dentist | 1040 Old Post Rd, Sidney, NE 69162-3065 | 2007-05-30 |
| 1962611533 | Healthy Smiles Dental Group | Dentist | 203 2nd Ave Sw, Sidney, MT 59270-4019 | 2007-05-21 |
| 1487708541 | Damen Patel | Dentist | 425 W Russell Rd, Sidney, OH 45365-1454 | 2007-01-23 |
| 1366507378 | Richard Leroy Fink | Dentist | 122 2nd St Se, Sidney, MT 59270-4104 | 2006-12-27 |
| 1881754026 | Changing Smiles Inc | Dentist | 325 2nd Ave, Sidney, OH 45365-1283 | 2006-12-11 |
| 1881767051 | Jeffery R Vantreese | Dentist | 2627 Broadway Ave, Sidney, OH 45365-1507 | 2006-11-16 |
| 1417034885 | William D Printz | Dentist | 1340 10th Ave, Sidney, NE 69162-2060 | 2006-11-01 |
| 1073618740 | Adarsh Giulab Mani | Dentist | 113 North Ohio Ave, Ste 310, Sidney, OH 45365 | 2006-09-14 |
| 1184647695 | Michael Patrick Neal | Dentist | 2678 11th Ave, Suite #1, Sidney, NE 69162-2471 | 2006-07-25 |
| Find all providers in SIDNEY | ||||
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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.