Samuel L. Koth, DDS, PC

General Practice Dentistry · Rock Valley, IA

Organization Active NPI

NPI number 1760734263

Practice location

1220 21st Ave
Rock Valley, IA 51247-1420
Phone
(712) 476-2749
Fax
(712) 476-5374

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NPI record

NPI
1760734263
Entity type
Organization (Type 2)
Enumeration date
October 8, 2012
Last updated
October 8, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 08755 IA

Authorized official

Name
Dr. Samuel Lee Koth, DDS
Title
Dentist/President
Phone
(712) 476-2749

About Samuel L. Koth, DDS, PC

Samuel L. Koth, DDS, PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1220 21st Ave, Rock Valley, IA 51247-1420. The NPI number 1760734263 was assigned on October 8, 2012 and the record was last updated on October 8, 2012.

Samuel L. Koth, DDS, PC lists a license in the registry: #08755 (IA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Samuel Lee Koth, DDS, Dentist/President.

Frequently asked questions

What is the NPI number of Samuel L. Koth, DDS, PC?

The NPI number is 1760734263.

What is the phone number of Samuel L. Koth, DDS, PC?

The phone number listed for the practice location is (712) 476-2749.

Where is Samuel L. Koth, DDS, PC located?

1220 21st Ave, Rock Valley, IA 51247-1420.

What is the taxonomy code for Samuel L. Koth, DDS, PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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