Organization
ORANGE CITY DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY D BEERNINK D.D.S. (PRESIDENT-OWNER)
(712) 737-4177
Entity
Organization
Contact information
Practice address
909 LINCOLN CIR SE, ORANGE CITY, IA 51041-1861
(712) 737-4177
(712) 737-8718
Mailing address
909 LINCOLN CIR SE, ORANGE CITY, IA 51041-1861
(712) 737-4177
(712) 737-8718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6960
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1216309
—
IA
01
—
27707
BLUE CROSS BLUE SHEILD
IA
Enumeration date
11/07/2006
Last updated
01/22/2013
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