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

Pediatric Dentristry of Coralville Inc

Organization Pediatric Dentistry · NPI 1003823113

Pediatric Dentristry of Coralville Inc is a 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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