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PRAIRIE CREEK DENTAL, PC
NPI 1245940808
Clinic/Center - Dental in Cedar Rapids, IA

Active since December 05, 2022
3555 STONE CREEK CIRCLE SW, CEDAR RAPIDS, IA 52404(319) 310-6323 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2023, Dec 5, 2022 (2 updates tracked since 2022).

About Prairie Creek Dental, Pc NPPES

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

PRAIRIE CREEK DENTAL, PC (NPI 1245940808) is a healthcare organization registered as a dental in Cedar Rapids, Iowa and active in the NPI registry since December 2022. The organization lists Katie Mathis, Owner, as its authorized official.

NPPES Registry Identity

NPI1245940808
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePRAIRIE CREEK DENTAL, PC
Location Address3555 STONE CREEK CIRCLE SWCedar Rapids, IA 52404
Mailing Address3555 Stone Creek Circle SwCedar Rapids, IA 52404-8013 · (319) 540-8626
Phone(319) 310-6323
Organization SubpartNo
Authorized OfficialKatie MathisOwner · (319) 540-8626
Enumeration DateDecember 5, 2022
Last NPPES UpdateMay 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1245940808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3555 STONE CREEK CIRCLE SW, Cedar Rapids, IA 52404
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Other Providers at the Same Location NPPES

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

DR. KATIE MATHIS DDS
Dentist (General Practice)
3555 STONE CREEK CIRCLE SW
CEDAR RAPIDS, IA 52404
Linn County (319) 540-8626

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 Prairie Creek Dental, PC's NPI number?

The NPI number for Prairie Creek Dental, PC is 1245940808. It was assigned to this organization in the NPPES registry on December 5, 2022.

Where is Prairie Creek Dental, PC located?

Prairie Creek Dental, PC is located at 3555 Stone Creek Circle SW, Cedar Rapids, IA 52404. The listed phone number is (319) 310-6323.

What is Prairie Creek 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 Prairie Creek Dental, PC was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.