Organization
MARK W RECKER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W RECKER DDS (GENERAL DENTIST)
(641) 628-1604
Entity
Organization
Contact information
Practice address
935 MAIN STREET, PELLA, IA 50219-1434
(641) 628-1604
(641) 628-2075
Mailing address
935 MAIN STREET, PELLA, IA 50219-1434
(641) 628-1604
(641) 628-2075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142158
—
IA
01
—
14215
WELLMARK BCBS
IA
Enumeration date
11/08/2006
Last updated
08/22/2020
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