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Dr. Judith G. Demro, P.C.

Dentist, Orthodontics and Dentofacial Orthopedics in Mason City, IA. Organization (NPI-2).

NPI number1265699607
StatusActive
Last updated in NPPESMay 22, 2008

Details

NPI
1265699607
Entity type
Organization (NPI-2)
Legal business name
Dr. Judith G. Demro, P.C.
Organization subpart
No
Enumeration date
May 22, 2008
Last updated
May 22, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics6968IAYes

Practice location

655 S Illinois Ave
Mason City, IA 50401-5405

Phone 641-424-3375

Mailing address

655 S Illinois Ave
Mason City, IA 50401-5405

Phone 641-424-3375

Authorized official

Judith G Demro
President
6414243375

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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