1. Home
  2. Directory
  3. Iowa
  4. Montezuma
  5. Clinic Center
  6. NPI Profile

DIAMOND TRAIL DENTAL
NPI 1164761698
Clinic/Center - Dental in Montezuma, IA

Active since February 04, 2013
301 S. 4TH ST., MONTEZUMA, IA 50171(641) 623-5100 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diamond Trail Dental NPPES

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

DIAMOND TRAIL DENTAL (NPI 1164761698) is a healthcare organization registered as a dental in Montezuma, Iowa and active in the NPI registry since February 2013. The organization lists Eric Chad Deboef, President, as its authorized official.

NPPES Registry Identity

NPI1164761698
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDIAMOND TRAIL DENTAL PC
Location Address301 S. 4TH ST.Montezuma, IA 50171-1031
Mailing Address107 High Ave EOskaloosa, IA 52577-2831 · (641) 673-3008 · Fax (641) 672-8807
Phone(641) 623-5100
Organization SubpartNo
Authorized OfficialEric Chad DeboefPresident · (641) 673-3008
Enumeration DateFebruary 4, 2013
✔ NPI 1164761698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
301 S. 4TH ST., Montezuma, IA 50171
Open in Google Maps ↗

Other Names 1

Doing Business AsDiamond Trail Dental

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 Diamond Trail Dental PC's NPI number?

The NPI number for Diamond Trail Dental PC is 1164761698. It was assigned to this organization in the NPPES registry on February 4, 2013. The provider is doing business as Diamond Trail Dental.

Where is Diamond Trail Dental PC located?

Diamond Trail Dental PC is located at 301 S. 4th St., Montezuma, IA 50171. The listed phone number is (641) 623-5100.

What is Diamond Trail Dental PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Diamond Trail Dental PC was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.