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SPRING PARK ORAL AND MAXILLOFACIAL SURGEONS
NPI 1194784389
Dentist - Oral and Maxillofacial Surgery in Clinton, IA

Active since March 17, 2006
407 S 4TH ST, CLINTON, IA 52732(563) 243-4406(563) 243-8534 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spring Park Oral And Maxillofacial Surgeons NPPES

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

SPRING PARK ORAL AND MAXILLOFACIAL SURGEONS (NPI 1194784389) is a healthcare organization registered as an oral and maxillofacial surgery in Clinton, Iowa and active in the NPI registry since March 2006. The organization lists Martie Teshak, Manager, as its authorized official.

NPPES Registry Identity

NPI1194784389
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSPRING PARK ORAL AND MAXILLOFACIAL SURGEONS
Location Address407 S 4TH STClinton, IA 52732-4512
Mailing Address407 S 4th StClinton, IA 52732-4512 · (563) 243-4406 · Fax (563) 243-8534
Phone(563) 243-4406
Fax(563) 243-8534
Organization SubpartNo
Authorized OfficialMartie TeshakManager · (563) 359-1601
Enumeration DateMarch 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194784389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
407 S 4TH ST, Clinton, IA 52732
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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

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 Spring Park Oral And Maxillofacial Surgeons's NPI number?

The NPI number for Spring Park Oral And Maxillofacial Surgeons is 1194784389. It was assigned to this organization in the NPPES registry on March 17, 2006.

Where is Spring Park Oral And Maxillofacial Surgeons located?

Spring Park Oral And Maxillofacial Surgeons is located at 407 S 4th St, Clinton, IA 52732. The listed phone number is (563) 243-4406.

What is Spring Park Oral And Maxillofacial Surgeons's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Spring Park Oral And Maxillofacial Surgeons was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.