Individual
DR. MICHELLE RENEE MCQUISTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
801 NEWTON RD, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7440
Mailing address
322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
08125
IA
1223G0001X
General Practice Dentistry
0212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212
NC LICENSE
NC
05
—
1942304951
—
NC
Enumeration date
09/11/2006
Last updated
10/02/2020
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