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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: July 19, 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.Information from the official NPPES registry record, last updated March 6, 2014.

NPPES Registry Identity

NPI1073939799
Entity TypeOrganization
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. How NPI validation works

★ Primary Specialty

Dentist

Taxonomy 122300000X · Dental Providers

✔ Licensed in IA · 07421

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… Show more

114 1/2 S 6TH ST, Council Bluffs, IA 51501
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Also on File with NPPES

Other Names1
Bayliss Park Dental Group (Doing Business As)
Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)

Reviews for BAYLISS PARK DENTAL GROUP

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

What is WESTERN IOWA DENTAL GROUP,PC's NPI number?

The NPI number assigned to this healthcare provider is 1073939799, enumerated as an "organization" on March 06, 2014.

Where is the provider located?

The provider is located at 114 1/2 S 6TH ST COUNCIL BLUFFS, IA 51501 and the phone number is (712) 325-1544.

What is the provider's specialty?

Dentist with taxonomy code 122300000X.