Individual
DR. PATRICK GERALD CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 1ST AVE N, SUITE 2, CLEAR LAKE, IA 50428-1725
(641) 357-8111
(641) 357-7713
Mailing address
800 1ST AVE N, SUITE 2, CLEAR LAKE, IA 50428-1725
(641) 357-8111
(641) 357-7713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6631
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180489
—
IA
Enumeration date
02/05/2007
Last updated
07/09/2007
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