Individual
DR. DOUGLAS JAMES RECKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1475 BOYSON ROAD, HIAWATHA, IA 52233-2339
(319) 393-4019
(319) 378-2924
Mailing address
1475 BOYSON ROAD, HIAWATHA, IA 52233-2339
(319) 393-4019
(319) 378-2924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7458
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083212
—
IA
01
—
124986
UNITED CONCORDIA
IA
01
—
13417
WELLMARK
IA
Enumeration date
05/23/2006
Last updated
07/08/2007
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