Provider Demographics
NPI:1295985695
Name:INTEGRITY DENTAL PC
Entity type:Organization
Organization Name:INTEGRITY DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEVER
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-728-8100
Mailing Address - Street 1:2201 COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52737-9000
Mailing Address - Country:US
Mailing Address - Phone:319-728-8100
Mailing Address - Fax:319-728-8109
Practice Address - Street 1:2201 COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS CITY
Practice Address - State:IA
Practice Address - Zip Code:52737-9000
Practice Address - Country:US
Practice Address - Phone:319-728-8100
Practice Address - Fax:319-728-8109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty