Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pediatric Dentristry of Coralville Inc

Organization Pediatric Dentistry · NPI 1003823113

Pediatric Dentristry of Coralville Inc provides Pediatric Dentistry in Coralville, Iowa. Licensed in Iowa. Registered with an NPI since 2006.

Licensed in
IA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

414 10th Ave Ste B
Coralville, IA 52241
Phone: (319) 338-7520
Fax: (319) 351-5730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 07894 (IA)

Record details

NPI number1003823113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Polly Iben — Owner · (319) 338-7520
NPI enumeratedAugust 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address414 10th Ave, Ste B, Coralville, IA 52241

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