Provider Demographics
NPI:1508627795
Name:IOWA KIDS PEDIATRIC DENTISTRY, INC
Entity Type:Organization
Organization Name:IOWA KIDS PEDIATRIC DENTISTRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PHD
Authorized Official - Phone:319-621-6326
Mailing Address - Street 1:4680 RAPID CREEK RD NE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-7722
Mailing Address - Country:US
Mailing Address - Phone:319-621-6326
Mailing Address - Fax:
Practice Address - Street 1:100 6TH AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-3201
Practice Address - Country:US
Practice Address - Phone:319-449-6789
Practice Address - Fax:319-449-6785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty