NPI 1003052861

Mark W Recker, DDS

Practitioner Dentist Pella, IA

Practice location

Address: 935 Main St, Pella, IA 50219-1434
Phone: (641) 628-1604
Fax: (682) 628-2075

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 06120 (IA)

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Registry record

NPI: 1003052861
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2008
Record last updated: 29 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.