1. Home
  2. Directory
  3. Iowa
  4. Missouri Valley
  5. Dentist
  6. NPI Profile

MISSOURI VALLEY DENTAL GROUP, LLC
NPI 1073704359
Dentist - General Practice in Missouri Valley, IA

Active since August 05, 2007
214 E ERIE ST, MISSOURI VALLEY, IA 51555(712) 642-4136(712) 642-3664 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Missouri Valley Dental Group, Llc NPPES

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

MISSOURI VALLEY DENTAL GROUP, LLC (NPI 1073704359) is a healthcare organization registered as a general practice in Missouri Valley, Iowa and active in the NPI registry since August 2007. The organization lists Jean Kerger, Corporation Manager, as its authorized official.

NPPES Registry Identity

NPI1073704359
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMISSOURI VALLEY DENTAL GROUP, LLC
Location Address214 E ERIE STMissouri Valley, IA 51555-1533
Mailing Address214 E Erie StMissouri Valley, IA 51555-1533 · (712) 642-4136 · Fax (712) 642-3664
Phone(712) 642-4136
Fax(712) 642-3664
Organization SubpartNo
Authorized OfficialJean KergerCorporation Manager · (712) 642-4136
Enumeration DateAugust 5, 2007
✔ NPI 1073704359 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 · 07421
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.
214 E ERIE ST, Missouri Valley, IA 51555
Open in Google Maps ↗

Other Identifiers 4

Medicaid5264622IA
Medicaid2152637IA
Medicaid0492033IA
Medicaid6060053IA

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 4

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

DR. INSOOK PATTY YANG D.D.S.
Dentist (General Practice)
214 E ERIE ST
MISSOURI VALLEY, IA 51555
Harrison County (712) 642-4136
DR. LEAH KREIFELS DMD
Dentist
214 E ERIE ST
MISSOURI VALLEY, IA 51555
Harrison County (712) 642-4136
MISSOURI VALLEY DENTAL GROUP LLC
Dentist (General Practice)
214 E ERIE ST
MISSOURI VALLEY, IA 51555
Harrison County (712) 642-4136
DR. MICHAEL KENNETH MACAITIS D.D.S.
Dentist (General Practice)
214 E ERIE ST
MISSOURI VALLEY, IA 51555
Harrison County (712) 642-4136

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 Missouri Valley Dental Group, LLC's NPI number?

The NPI number for Missouri Valley Dental Group, LLC is 1073704359. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Missouri Valley Dental Group, LLC located?

Missouri Valley Dental Group, LLC is located at 214 E Erie St, Missouri Valley, IA 51555. The listed phone number is (712) 642-4136.

What is Missouri Valley Dental Group, LLC'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 Missouri Valley Dental Group, LLC was last updated on August 5, 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.