Individual
DR. JOSHUA MUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18 W 4TH ST, SPENCER, IA 51301-4013
(712) 262-4751
(712) 262-7278
Mailing address
18 W 4TH ST, SPENCER, IA 51301-4013
(712) 262-4751
(712) 262-7278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08154
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263517
—
IA
01
—
08154
BC/BS OF NJ
NJ
01
—
1749200
UNITED CONCORDIA
PA
01
—
3144570
BC/BS OF TN
TN
01
—
413707
BC/BS OF KS
KS
01
—
58795
BC/BS OF IA
IA
Enumeration date
11/02/2006
Last updated
07/08/2007
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