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WATERLOO PEDIATRIC DENTISTRY
NPI 1700583580
Dentist - Pediatric Dentistry in Waterloo, IA

Active since February 13, 2023
112 W PARK LN, WATERLOO, IA 50701(319) 429-0179 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waterloo Pediatric Dentistry NPPES

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

WATERLOO PEDIATRIC DENTISTRY (NPI 1700583580) is a healthcare organization registered as a pediatric dentistry in Waterloo, Iowa and active in the NPI registry since February 2023. The organization lists Alison Christensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1700583580
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWATERLOO PEDIATRIC DENTISTRY
Location Address112 W PARK LNWaterloo, IA 50701-5119
Mailing Address112 W Park LnWaterloo, IA 50701-5119 · (319) 595-2160 · Fax (319) 595-2162
Phone(319) 429-0179
Organization SubpartNo
Authorized OfficialAlison ChristensenOwner · (319) 429-0179
Enumeration DateFebruary 13, 2023
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1700583580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
112 W PARK LN, Waterloo, IA 50701
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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 Waterloo Pediatric Dentistry's NPI number?

The NPI number for Waterloo Pediatric Dentistry is 1700583580. It was assigned to this organization in the NPPES registry on February 13, 2023.

Where is Waterloo Pediatric Dentistry located?

Waterloo Pediatric Dentistry is located at 112 W Park Ln, Waterloo, IA 50701. The listed phone number is (319) 429-0179.

What is Waterloo Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Waterloo Pediatric Dentistry was last updated on August 2, 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.