Sally M Roushdy
Dentist Prosthodontist
801 Newton Road University Of Iowa College Of Dentistry
Iowa City
, Iowa 52242
Sally M Roushdy
Dentist Prosthodontist
801 Newton Road University Of Iowa College Of Dentistry
Iowa City
, Iowa 52242
(352) 281-7399
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About
Features
Specialties
- Dentist
- Prosthodontist
Languages spoken
- English
Location
First Address
- Sally M Roushdy
- 752 Westgate St
- Iowa City, IA
- Zip : 52246-4637
- Phone : (352) 281-7399
Second Address
- Sally M Roushdy
- 801 Newton Road University Of Iowa College Of Dentistry
- Iowa City, IA
- Zip : 52242
- Phone : (319) 335-3188
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Is Sally M Roushdy a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | FAC-40179 | IA |
| N | 1223P0700X | Prosthodontist | FAC-40179 | IA |
National Provider Identifier
| NPI | 1073029591 |
|---|---|
| Provider Name | Sally M Roushdy |
| First Address | Iowa City, IA 52246-4637 |
| Second Address | Iowa City, IA 52242 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2017 |
| Last Update Date | 20/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.