Provider Demographics
NPI:1932288578
Name:DENTAL HEALTH PARTNERS PC
Entity type:Organization
Organization Name:DENTAL HEALTH PARTNERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KRAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-365-4997
Mailing Address - Street 1:4245 1ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3169
Mailing Address - Country:US
Mailing Address - Phone:319-365-4997
Mailing Address - Fax:319-365-6822
Practice Address - Street 1:4245 1ST AVE SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3169
Practice Address - Country:US
Practice Address - Phone:319-365-4997
Practice Address - Fax:319-365-6822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental