Provider Demographics
NPI:1265580542
Name:WORKMAN, NORMAN D (DDS)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:D
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4225 GLASS RD NE
Mailing Address - Street 2:SUITE D
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2564
Mailing Address - Country:US
Mailing Address - Phone:319-395-7207
Mailing Address - Fax:319-395-0143
Practice Address - Street 1:4225 GLASS RD NE
Practice Address - Street 2:SUITE D
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2564
Practice Address - Country:US
Practice Address - Phone:319-395-7207
Practice Address - Fax:319-395-0143
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA54161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA005726Medicaid