BRIDGE CITY DENTAL, PC
NPI 1073122354
Dentist - General Practice in Ottumwa, IA

NPI Status: Active since July 23, 2020

Contact Information

2427 NORTHGATE ST
OTTUMWA, IA
ZIP 52501
Phone: (641) 684-4889

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  • Organization
  • Dentist
  • General Practice

About BRIDGE CITY DENTAL, PC

This page provides the complete NPI Profile along with additional information for Bridge City Dental, Pc, a provider established in Ottumwa, Iowa operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1073122354 assigned on July 2020. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Eric Chad De Boef Dds (President)

NPI
1073122354
Provider Name
BRIDGE CITY DENTAL, PC
Entity Type
Organization
Location Address
2427 NORTHGATE ST OTTUMWA, IA 52501
Location Phone
(641) 684-4889
Mailing Address
2427 NORTHGATE ST OTTUMWA, IA 52501
Mailing Phone
(641) 684-4889
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2020
Last Update Date
07-23-2020
Code Navigator

A dentist like Bridge City Dental, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC CHAD DE BOEF DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(641) 684-4889

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073122354
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143224310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 2 + 2 + 4 + 3 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1073122354 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013031863DR. THOMAS BRIAN RUNDLE D.D.S.
Individual
Dentist (General Practice)2427 NORTHGATE ST
OTTUMWA, IA 52501
(641) 684-4889
1598373474DR. SAMATHA LEAH HOPKINS DDS
Individual
Dentist (General Practice)2427 NORTHGATE ST
OTTUMWA, IA 52501
(641) 684-4889
1790415107DR. MELISSA SHEA DRAUGHN WILLIAMS DDS
Individual
Dentist2427 NORTHGATE ST
OTTUMWA, IA 52501
(641) 684-4889
1295574200 RICHARD WORSHAM
Individual
Dentist (General Practice)2427 NORTHGATE ST
OTTUMWA, IA 52501
(641) 684-4889

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073122354, enumerated in the NPI registry as an "organization" on July 23, 2020

The provider is located at 2427 Northgate St Ottumwa, Ia 52501 and the phone number is (641) 684-4889

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on July 23, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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