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BAYLISS PARK DENTAL GROUP
NPI 1073939799
Dentist in Council Bluffs, IA

Active since March 06, 2014
114 1/2 S 6TH ST, COUNCIL BLUFFS, IA 51501(712) 325-1544(712) 325-0420 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bayliss Park Dental Group NPPES

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

BAYLISS PARK DENTAL GROUP (NPI 1073939799) is a healthcare organization registered as a dentist in Council Bluffs, Iowa and active in the NPI registry since March 2014. The organization lists Betty Kerger, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073939799
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWESTERN IOWA DENTAL GROUP,PC
Location Address114 1/2 S 6TH STCouncil Bluffs, IA 51501-4234
Mailing Address1509 Avenue GCouncil Bluffs, IA 51501-2516 · (712) 325-1544 · Fax (712) 325-0420
Phone(712) 325-1544
Fax(712) 325-0420
Organization SubpartYesParent: Western Iowa Dental Group, Pc
Authorized OfficialBetty KergerOffice Manager · (712) 325-1544
Enumeration DateMarch 6, 2014
✔ NPI 1073939799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IA · 07421
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
114 1/2 S 6TH ST, Council Bluffs, IA 51501
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Other Names 1

Doing Business AsBayliss Park Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

MIDLANDS ORAL HEALTH, LLC
Dentist (General Practice)
114 1/2 S 6TH ST
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 325-1544
RYAN T HAJEK DDS PC
Dentist (Pediatric Dentistry)
114 1/2 S 6TH ST
COUNCIL BLUFFS, IA 51501
Pottawattamie County (712) 256-5048
DR. RYAN T HAJEK D.D.S.
Dentist (Pediatric Dentistry)
114 1/2 S 6TH ST
COUNCIL BLUFFS, IA 51501
Pottawattamie County (605) 354-7077

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 Western Iowa Dental Group,pc's NPI number?

The NPI number for Western Iowa Dental Group,pc is 1073939799. It was assigned to this organization in the NPPES registry on March 6, 2014. The provider is doing business as Bayliss Park Dental Group.

Where is Western Iowa Dental Group,pc located?

Western Iowa Dental Group,pc is located at 114 1/2 S 6th St, Council Bluffs, IA 51501. The listed phone number is (712) 325-1544.

What is Western Iowa Dental Group,pc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Western Iowa Dental Group,pc was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.