EASTERN IOWA ORAL AND MAXILLOFACIAL SURGERY (NPI# 1992962732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992962732 |
| Entity Type | Organization |
| Organization Name | EASTERN IOWA ORAL AND MAXILLOFACIAL SURGERY |
| Practice Address |
835 3rd Ave Se Cedar Rapids IA 52403-2407 |
| Practice Telephone | 3193668277 |
| Practice Fax Number | 3193667091 |
| Mailing Telephone | 3193668277 |
| Mailing Fax Number | 3193667091 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2016-07-08 |
| Authorized Official Name | MRS. SUZANNE J. STEWART (OFFICE MANAGER) |
| Authorized Official Telephone | 3193668277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
08986 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BENJAMIN L. FULLER LICENSE NUMBER | 08986 | 01 |
| IA | BENJAMIN L. FULLER NPI | 1689802910 | 01 |
| IA | JAROM E. MAURER NPI | 1265727150 | 01 |
| IA | JAROM E. MAURER LICENSE NUMBER | 09173 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | EASTERN IOWA ORAL AND MAXILLOFACIAL SURGERY LLC | 835 3rd Ave. Se, Cedar Rapids, IA 52403 |
| Street Address |
835 3RD AVE SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943174 | Daniel S Sarasin | Dentist | 835 3rd Ave Se, Cedar Rapids, IA 52403-2407 | 2005-12-15 |
| 1841458981 | Cedar Rapids Oral Surgery, PC | Dentist | 835 3rd Ave Se, Cedar Rapids, IA 52403-2407 | 2008-05-27 |
| 1083644454 | Larry A Mccray | Dentist | 835 3rd Ave Se, Cedar Rapids, IA 52403-2407 | 2006-07-03 |
| 1891771960 | John R Van Heukelom | Dentist | 835 3rd Ave Se, Cedar Rapids, IA 52403-2407 | 2005-12-20 |
| 1821074477 | Kurt Jeffrey Westlund | Dentist | 835 3rd Ave Se, Cedar Rapids, IA 52403-2407 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689802910 | Benjamin Luke Fuller | Dentist | 835 3rd Ave Sw, Cedar Rapids, IA 52404-1810 | 2009-06-25 |
| 1518943174 | Daniel S Sarasin | Dentist | 835 3rd Ave Se, Cedar Rapids, IA 52403-2407 | 2005-12-15 |
| 1841458981 | Cedar Rapids Oral Surgery, PC | Dentist | 835 3rd Ave Se, Cedar Rapids, IA 52403-2407 | 2008-05-27 |
| 1083644454 | Larry A Mccray | Dentist | 835 3rd Ave Se, Cedar Rapids, IA 52403-2407 | 2006-07-03 |
| 1891771960 | John R Van Heukelom | Dentist | 835 3rd Ave Se, Cedar Rapids, IA 52403-2407 | 2005-12-20 |
| 1821074477 | Kurt Jeffrey Westlund | Dentist | 835 3rd Ave Se, Cedar Rapids, IA 52403-2407 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970655 | Advanced Oral Surgery, Pllc | Dentist | 3265 S 24th St, Council Bluffs, IA 51501-6901 | 2019-09-06 |
| 1528421237 | Timothy Scott Albright | Dentist | 2814 Northgate Dr Ste 2, Iowa City, IA 52245-9513 | 2016-03-30 |
| 1467846519 | Edward H Schaefer Iv | Dentist | 201 Ridge St Ste 308, Council Bluffs, IA 51503-4643 | 2015-03-26 |
| 1386087658 | Michael Morio | Dentist | 7400 Fleur Dr Ste 200, Des Moines, IA 50321-3105 | 2013-04-16 |
| 1245550003 | Douglas Kendrick | Dentist | 451 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2010-06-03 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1801093067 | Ryan A Marsh | Dentist | 7400 Fleur Dr, Ste 200, Des Moines, IA 50321-3105 | 2007-06-29 |
| 1386847630 | John D. Janulewicz | Dentist | 7400 Fleur Drive, Suite 200, Des Moines, IA 50321-3104 | 2007-06-06 |
| 1396952297 | Jonathan R Dejong | Dentist | 804 Kenyon Rd Ste 120, Fort Dodge, IA 50501-5746 | 2007-05-17 |
| 1013038447 | Morgan and Morio Oral and Maxillofacial Surgery | Dentist | 1395 Boyson Rd, Hiawatha, IA 52233-2210 | 2007-04-03 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on EASTERN IOWA ORAL AND MAXILLOFACIAL SURGERY.
| 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.