Olympic Dentistry, Plc
Olympic Dentistry, Plc is a healthcare organization registered as Dental Clinic/Center in Waterloo, IA, holding Type 2 (organization) NPI 1104036755 since 2007. The authorized official on file is Brent Ludens, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104036755 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Olympic Dentistry, Plc |
| Practice address | 208 OLYMPIC DR, Waterloo, IA, 50701 |
| Phone | 3192343233 |
| Fax | 3192343879 |
| Enumeration date | 2007-05-23 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Brent Ludens |
|---|---|
| Title | Owner |
| Phone | 3192343233 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | 07466 | IA |
Copy-ready billing details
Provider: Olympic Dentistry, Plc NPI: 1104036755 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 208 OLYMPIC DR, Waterloo, IA, 50701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730309949 | Rene Dutkowski Ludens | Individual | Dentist | Waterloo, IA |
| 1740400951 | Brent Ludens | Individual | Prosthodontics | Waterloo, IA |
Verify this record
Cross-check NPI 1104036755 against the authoritative CMS record: view Olympic Dentistry, Plc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Olympic Dentistry, Plc located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.