Organization
THE NETTLETON DENTAL GROUP, PC
Active
Other names
Drs. Nettleton, Hoffman, Hehr and White
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DONOVAN HOFFMAN D.D.S (PRESIDENT)
(641) 424-4521
Entity
Organization
Contact information
Practice address
946 E STATE ST, MASON CITY, IA 50401-4202
(641) 424-4521
(641) 424-8403
Mailing address
946 E STATE ST, MASON CITY, IA 50401-4202
(641) 424-4521
(641) 424-8403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0248898
—
IA
01
—
1604972
UNITED CONCORDIA
—
Enumeration date
10/06/2006
Last updated
08/22/2020
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