Provider Demographics
NPI:1043477482
Name:PAUL A. SENSOR, D.D.S.
Entity Type:Organization
Organization Name:PAUL A. SENSOR, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:SENSOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:641-456-2625
Mailing Address - Street 1:112 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50441-1724
Mailing Address - Country:US
Mailing Address - Phone:641-456-2625
Mailing Address - Fax:641-456-2404
Practice Address - Street 1:112 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50441-1724
Practice Address - Country:US
Practice Address - Phone:641-456-2625
Practice Address - Fax:641-456-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA6890261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental