MARTIN E. AVERILL D.D.S.
NPI 1043363757
Dentist - General Practice in Waterloo, IA

Active since January 18, 2007
2102 KIMBALL AVE, WATERLOO, IA 50702(319) 233-3506(319) 233-1335 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martin E. Averill D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN E. AVERILL D.D.S. (NPI 1043363757) is an individual general practice provider in Waterloo, Iowa, licensed in Iowa (6316) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1043363757
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARTIN E. AVERILLCredential: D.D.S.
Location Address2102 KIMBALL AVEWaterloo, IA 50702-5037
Mailing Address2102 Kimball AveWaterloo, IA 50702-5037 · (319) 233-3506 · Fax (319) 233-1335
Fax(319) 233-1335
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1043363757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · 6316
Definition
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.
2102 KIMBALL AVE, Waterloo, IA 50702

Other Identifiers 1

Medicaid0004572IA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2102 KIMBALL AVE
WATERLOO, IA 50702
Dentist (General Practice)
2102 KIMBALL AVE
WATERLOO, IA 50702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Averill's NPI number?

The NPI number for Martin Averill is 1043363757. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Martin Averill located?

Martin Averill practices at 2102 Kimball Ave, Waterloo, IA 50702. The listed phone number is (319) 233-3506.

What is Martin Averill's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Martin Averill was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.