Organization
CHARLES H. KIPLE D.D.S., P.C.
Active
Other names
Morningside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HOWARD KIPLE D.D.S. (PRESIDENT)
(712) 276-2206
Entity
Organization
Contact information
Practice address
4704 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3020
(712) 276-2206
(712) 276-7247
Mailing address
4704 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3020
(712) 276-2206
(712) 276-7247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07781
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60054
AETNA
IA
Enumeration date
05/25/2010
Last updated
06/19/2012
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