Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Western Iowa Dental Group, PC

Organization Dentist · NPI 1073939799

Western Iowa Dental Group, PC provides Dentist services in Council Bluffs, Iowa. Licensed in Iowa. Registered with an NPI since 2014.

Licensed in
IA
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 1/2 S 6th St
Council Bluffs, IA 51501-4234 Not confirmed with CMS for 12 years — call before visiting
Phone: (712) 325-1544
Fax: (712) 325-0420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 07421 (IA)

Record details

NPI number1073939799
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWestern Iowa Dental Group, PC
Authorized official Betty Kerger — Office Manager · (712) 325-1544
Other names Bayliss Park Dental Group
NPI enumeratedMarch 6, 2014
Last updated in NPPESMarch 6, 2014
Mailing address1509 Avenue G, Council Bluffs, IA 51501-2516

Other providers in Council Bluffs