Provider Demographics
NPI:1801944111
Name:NORMAN D. WORKMAN, DDS, PC
Entity type:Organization
Organization Name:NORMAN D. WORKMAN, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WORKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-395-7207
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA54161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA005726Medicaid