Individual
DR. NICHOLAS J DRZYCIMSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2727 N 15TH ST, FORT DODGE, IA 50501-7203
(515) 576-5786
(515) 576-5128
Mailing address
PO BOX 1823, 2727 NORTH 15TH STREET, FORT DODGE, IA 50501-1823
(515) 576-5786
(515) 576-5128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6558
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500132
—
IA
01
—
192898
DELTA DENTAL
IA
01
—
843081
UNITED CONCORDIA
IA
Enumeration date
02/13/2007
Last updated
07/08/2007
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