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Michael James Kanellis, DDSMS
Pediatric Dentist in Iowa City, Iowa
NPI 1518061209

Michael James Kanellis is a Pediatric Dentist based in Iowa City, IA and is specialized in Pediatric Dentistry. Michael James Kanellis practices in Iowa City, IA and has the professional credentials of DDSMS. The NPI Number for Michael James Kanellis is 1518061209 and holds a License No. 06521 (Iowa).

The current practice location address for Michael James Kanellis is 322 S Dental Science Bldg, Iowa City, IA and can be reached out via phone at 319-384-1139 and via fax at 319-384-1785.

Location: 322 S Dental Science Bldg, Iowa City, IA, 52242-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518061209
Provider Name
Michael James Kanellis
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
322 S Dental Science Bldg, Iowa City, IA, 52242-1001
Phone Number
319-384-1139
Fax Number
319-384-1785
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007047 05 IA
institution
Provider Business Practice Location Address Details
Address
322 S Dental Science Bldg
City
Iowa City
State
Iowa
Zip
52242-1001
Phone Number
319-384-1139
Fax Number
319-384-1785
person
Provider Business Mailing Address Details
Address
322 S Dental Science Bldg
City
Iowa City
State
Iowa
Zip
52242-1001
Phone Number
319-384-1139
Fax Number
319-384-1785
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
06521 (Iowa)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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