Individual
DR. GARY VANHOFWEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18 WEST 4TH ST, SPENCER, IA 51301
(712) 262-4751
(712) 262-7278
Mailing address
18 WEST 4TH ST, PO BOX 224, SPENCER, IA 51301
(712) 262-4751
(712) 262-7278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06343
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150375
—
IA
01
—
06343
BC/BS OF NJ
NJ
01
—
17805
BC/BS OF IA
IA
01
—
3144570
BC/BS OF TN
TN
01
—
413707
BC/BS OF KS
KS
01
—
869122
UNITED CONCORDIA
PA
Enumeration date
11/03/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us