Organization
DENTAL ASSOCIATES OF MANCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE L BEHNKEN RDA,BS (OFFICE MANAGER)
(563) 927-6038
Entity
Organization
Contact information
Practice address
120 E FAYETTE ST, MANCHESTER, IA 52057-1705
(563) 927-4746
(563) 927-6217
Mailing address
120 E FAYETTE ST, MANCHESTER, IA 52057-1705
(563) 927-4746
(563) 927-6217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266734
—
IA
01
—
45928
WELLMARK BLUE DENTAL
IN
Enumeration date
01/19/2006
Last updated
08/22/2020
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