Organization
STATE UNIVERSITY OF IOWA
Active
Other names
College of Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINA JANCZUK MBA, MPH (ASSOCIATE DEAN FOR FINANCE AND ADMI)
(319) 467-0735
Entity
Organization
Contact information
Practice address
322 DENTAL SCIENCE BLDG, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451
Mailing address
322 DENTAL SCIENCE BLDG, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007567
—
IA
01
—
855764
UNITED CONCORDIA
IA
Enumeration date
10/17/2006
Last updated
12/18/2024
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