Individual
DR. JEFFREY P DAHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2018 WASHINGTON ST, PELLA, IA 50219-7881
(641) 628-2468
(641) 628-8247
Mailing address
112 TERRACE DR, OTLEY, IA 50214-8514
(641) 627-5210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IA7530
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1086249
—
IA
01
—
46177
WELLMARK
IA
Enumeration date
12/07/2007
Last updated
12/10/2007
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