Individual
DR. DONNA D PIPHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
410 HIGHWAY 218 NORTH, LA PORTE CITY, IA 50651
(319) 342-3622
(319) 342-3627
Mailing address
410 HIGHWAY 218 NORTH PO BOX 196, LA PORTE CITY, IA 50651
(319) 342-3622
(319) 342-3627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6337
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152001
—
IA
01
—
15280
WELLMARK BCBS OF IOWA
IA
01
—
42110449900001
BLUE DENTAL
IA
Enumeration date
01/30/2007
Last updated
07/08/2007
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