Provider Demographics
NPI:1437308178
Name:VAN NIEUWENHUYZEN, DUANE ARLYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:ARLYN
Last Name:VAN NIEUWENHUYZEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3664 UTICA RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722
Mailing Address - Country:US
Mailing Address - Phone:563-209-9041
Mailing Address - Fax:563-209-9042
Practice Address - Street 1:3664 UTICA RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722
Practice Address - Country:US
Practice Address - Phone:563-209-9041
Practice Address - Fax:563-209-9042
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-093351223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics