Organization
KIMBALL AND BEECHER MARSHALLTOWN PLLC
Active
Parent organization
KIMBALL AND BEECHER FAMILY DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIMBALL AND BEECHER FAMILY DENTISTRY
Authorized official
MRS. MOLLY ELIZABETH SPENCE (BILLING/INSURANCE MANAGER)
(319) 235-6287
Entity
Organization
Contact information
Practice address
101 E SOUTHRIDGE RD, MARSHALLTOWN, IA 50158-4552
(641) 753-3383
Mailing address
4015 HURST DR, WATERLOO, IA 50701-9035
(319) 235-6287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5964
IA
1223G0001X
General Practice Dentistry
6067
IA
1223G0001X
General Practice Dentistry
Primary
7999
IA
1223G0001X
General Practice Dentistry
8035
IA
1223G0001X
General Practice Dentistry
8759
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129460
—
IA
05
—
137828
—
IA
Enumeration date
12/07/2015
Last updated
12/07/2015
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