# KATIE MILDEN DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558165480
- **Authorized official:** KATIE MILDEN DDS (PRESIDENT)
- **Authorized official phone:** (319) 310-2909

## Contact information

- **Practice address:** 1755 1ST AVE SE, CEDAR RAPIDS, IA 52402-5432
- **Practice address phone:** (319) 365-9105
- **Practice address fax:** (319) 866-9662
- **Mailing address:** 1755 1ST AVE SE, CEDAR RAPIDS, IA 52402-5432
- **Mailing address phone:** (319) 365-9105
- **Mailing address fax:** (319) 866-9662

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2025
- **Last updated:** 04/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1558165480 | NPI | IA |
| 01 | — | 1780996264 | NPI | IA |