Provider Demographics
NPI:1093248957
Name:32 & YOU, P.C.
Entity Type:Organization
Organization Name:32 & YOU, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:BYGNESS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:712-263-3252
Mailing Address - Street 1:1328 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:IA
Mailing Address - Zip Code:51442-1924
Mailing Address - Country:US
Mailing Address - Phone:712-263-3252
Mailing Address - Fax:712-794-4142
Practice Address - Street 1:1328 BROADWAY
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:IA
Practice Address - Zip Code:51442-1924
Practice Address - Country:US
Practice Address - Phone:712-263-3252
Practice Address - Fax:712-794-4142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA07912122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1871661819Medicaid