Provider Demographics
NPI:1285467050
Name:SARA E STUEFEN. DDS. PC
Entity type:Organization
Organization Name:SARA E STUEFEN. DDS. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:STUEFEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-472-3282
Mailing Address - Street 1:207 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52349-1804
Mailing Address - Country:US
Mailing Address - Phone:319-472-3282
Mailing Address - Fax:319-214-2478
Practice Address - Street 1:207 E 4TH ST
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:IA
Practice Address - Zip Code:52349-1804
Practice Address - Country:US
Practice Address - Phone:319-472-3282
Practice Address - Fax:319-214-2478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty