| Associate Dentists, P.c. | |
|
3549 11th Ave Council Bluffs IA 51501-5641 | |
| (712) 328-0708 | |
| (712) 328-8991 |
| Full Name | Associate Dentists, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3549 11th Ave, Council Bluffs, Iowa |
| Authorized Official Name and Position | Jimmie L. Pinkham (OWNER/DENTIST) |
| Authorized Official Contact | 7123280708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associate Dentists, P.c. 3549 11th Ave Council Bluffs IA 51501-5641 Ph: (712) 328-0708 | Associate Dentists, P.c. 3549 11th Ave Council Bluffs IA 51501-5641 Ph: (712) 328-0708 |
| NPI Number | 1447249230 |
|---|---|
| Provider Enumeration Date | 10/14/2005 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447249230 | NPI | - | NPPES |
| 0094250 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7623 (Iowa) | Primary |
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