# WESTERN IOWA DENTAL GROUP,PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WESTERN IOWA DENTAL GROUP, PC
- **Other names:** Western Iowa Dental Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447666151
- **Legal business name:** WESTERN IOWA DENTAL GROUP, PC
- **Authorized official:** BETTY KERGER (OFFICE MANAGER)
- **Authorized official phone:** (712) 325-1544

## Contact information

- **Practice address:** 10841 Q ST, SUITE 109, OMAHA, NE 68137-3543
- **Practice address phone:** (402) 339-4999
- **Practice address fax:** (402) 339-4991
- **Mailing address:** 10841 Q ST, SUITE 109, OMAHA, NE 68137-3543
- **Mailing address phone:** (402) 339-4999
- **Mailing address fax:** (402) 339-4991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 07/02/2014