Provider Demographics
NPI:1881819522
Name:ASSOCIATED DENTISTS, P.C.
Entity Type:Organization
Organization Name:ASSOCIATED DENTISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERSECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:EDGAR
Authorized Official - Last Name:MOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:641-792-4832
Mailing Address - Street 1:600 E 17TH ST S
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-4094
Mailing Address - Country:US
Mailing Address - Phone:641-792-4832
Mailing Address - Fax:641-792-8843
Practice Address - Street 1:600 E 17TH ST S
Practice Address - Street 2:SUITE A
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-4094
Practice Address - Country:US
Practice Address - Phone:641-792-4832
Practice Address - Fax:641-792-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty