Provider Demographics
NPI:1205942018
Name:KUEMPEL, DEENA RAE (DDS)
Entity type:Individual
Prefix:DR
First Name:DEENA
Middle Name:RAE
Last Name:KUEMPEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 51ST STREET
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2460
Mailing Address - Country:US
Mailing Address - Phone:319-294-4800
Mailing Address - Fax:319-294-1992
Practice Address - Street 1:1909 51ST ST NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2460
Practice Address - Country:US
Practice Address - Phone:319-294-4800
Practice Address - Fax:319-294-1992
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA077731223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics