Individual
DR. DENNIS MATTHEW GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1317 N ELM, OTTUMWA, IA 52501
(641) 682-8518
(641) 683-7599
Mailing address
1317 N ELM, OTTUMWA, IA 52501
(641) 682-8518
(641) 683-7599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6290
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145748
—
IA
01
—
14574
BCBS FED PROVIDER NUMBER
—
Enumeration date
03/31/2008
Last updated
05/13/2008
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