Doctor Name: | DR. ANNALEE PATRICIA FENCL |
NPI Number: | 1265775779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.D.S. |
License Number: | 30382 |
Business Practice Address: | 201 Dental Science Bldg S Iowa City, IA - 522421001 |
Business Phone Number: | 3193357485 |
Business Fax Number: | |
Mailing Address: | 322 Dental Science Bldg S, IOWA CITY |
State: | IA |
Postal Code: | 522421001 |
Phone Number: | 3193357440 |
Fax Number: | 3193357451 |
NPI Enumeration Date: | 04/03/2013 |
NPI Last Update Date: | 10/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 30382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |