Provider Demographics
NPI:1083362800
Name:DARLING CHILDREN'S DENTISTRY
Entity Type:Organization
Organization Name:DARLING CHILDREN'S DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DARLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:641-575-0611
Mailing Address - Street 1:301 W 2ND ST STE 4
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-2506
Mailing Address - Country:US
Mailing Address - Phone:641-575-0611
Mailing Address - Fax:641-575-0622
Practice Address - Street 1:301 W 2ND ST STE 4
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-2506
Practice Address - Country:US
Practice Address - Phone:641-575-0611
Practice Address - Fax:641-575-0622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental