Organization
EASTERN IOWA ORTHODONTICS
Active
Organization
EASTERN IOWA ORTHODONTICS
Active
Other names
Kadavy Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TUCKER (OFFICE MANAGER)
(563) 243-6622
Entity
Organization
Contact information
Practice address
2635 LINCOLN WAY STE E, CLINTON, IA 52732-7229
(563) 243-6622
(563) 242-1484
Mailing address
2635 LINCOLN WAY STE E, CLINTON, IA 52732-7229
(563) 243-6622
(563) 242-1484
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
07343
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074542
—
IA
Enumeration date
11/01/2006
Last updated
11/13/2024
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