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BRIDGE CITY DENTAL, PC
NPI 1073122354
Dentist - General Practice in Ottumwa, IA

Active since July 23, 2020
2427 NORTHGATE ST, OTTUMWA, IA 52501(641) 684-4889 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridge City Dental, Pc NPPES

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

BRIDGE CITY DENTAL, PC (NPI 1073122354) is a healthcare organization registered as a general practice in Ottumwa, Iowa and active in the NPI registry since July 2020. The organization lists Eric Chad De Boef, President, as its authorized official.

NPPES Registry Identity

NPI1073122354
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRIDGE CITY DENTAL, PC
Location Address2427 NORTHGATE STOttumwa, IA 52501-1144
Mailing Address2427 Northgate StOttumwa, IA 52501-1144 · (641) 684-4889
Phone(641) 684-4889
Organization SubpartNo
Authorized OfficialEric Chad De BoefPresident · (641) 684-4889
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
✔ NPI 1073122354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2427 NORTHGATE ST, Ottumwa, IA 52501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. THOMAS BRIAN RUNDLE D.D.S.
Dentist (General Practice)
2427 NORTHGATE ST
OTTUMWA, IA 52501
Wapello County (641) 684-4889
RICHARD WORSHAM
Dentist (General Practice)
2427 NORTHGATE ST
OTTUMWA, IA 52501
Wapello County (641) 684-4889
DR. SAMATHA LEAH HOPKINS DDS
Dentist (General Practice)
2427 NORTHGATE ST
OTTUMWA, IA 52501
Wapello County (641) 684-4889

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 Bridge City Dental, PC's NPI number?

The NPI number for Bridge City Dental, PC is 1073122354. It was assigned to this organization in the NPPES registry on July 23, 2020.

Where is Bridge City Dental, PC located?

Bridge City Dental, PC is located at 2427 Northgate St, Ottumwa, IA 52501. The listed phone number is (641) 684-4889.

What is Bridge City Dental, PC'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 Bridge City Dental, PC was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.