Organization
MT PLEASANT DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY EDWARD SITAR D.D.S. (OWNER)
(319) 385-3795
Entity
Organization
Contact information
Practice address
304 N JEFFERSON ST, MT PLEASANT, IA 52641-1621
(319) 385-8912
(319) 385-4532
Mailing address
304 N JEFFERSON ST, MT PLEASANT, IA 52641-1621
(319) 385-8912
(319) 385-4532
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7586
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156091
—
IA
Enumeration date
02/07/2007
Last updated
08/22/2020
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