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Dr. Lyle Thomas Roudabush, DDS
General Practice Dentistry in Grinnell, Iowa
NPI 1861520652

Lyle Thomas Roudabush is a General Practice Dentistry based in Grinnell, IA and is specialized in General Practice. Lyle Thomas Roudabush practices in Grinnell, IA and has the professional credentials of DDS. The NPI Number for Lyle Thomas Roudabush is 1861520652 and holds a License No. 5719 (Iowa).

The current practice location address for Lyle Thomas Roudabush is 825 Broad St, Grinnell, IA and can be reached out via phone at 641-236-6169 and via fax at 641-236-6041.

Location: 825 Broad St, Grinnell, IA, 50112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861520652
Provider Name
Lyle Thomas Roudabush
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
825 Broad St, Grinnell, IA, 50112
Phone Number
641-236-6169
Fax Number
641-236-6041
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
825 Broad St
City
Grinnell
State
Iowa
Zip
50112-2153
Phone Number
641-236-6169
Fax Number
641-236-6041
person
Provider Business Mailing Address Details
Address
825 Broad St
City
Grinnell
State
Iowa
Zip
50112-2153
Phone Number
641-236-6169
Fax Number
641-236-6041
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5719 (Iowa)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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