| Broadlawns Medical Center Dental Clinic | |
|
1801 Hickman Rd Des Moines IA 50314-1505 | |
| (515) 282-2421 | |
| Not Available |
| Full Name | Broadlawns Medical Center Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 1801 Hickman Rd, Des Moines, Iowa |
| Authorized Official Name and Position | Vincent J Mandracchia (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5152822562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadlawns Medical Center Dental Clinic 1801 Hickman Road Des Moines IA 50314-1505 Ph: (515) 282-2421 | Broadlawns Medical Center Dental Clinic 1801 Hickman Rd Des Moines IA 50314-1505 Ph: (515) 282-2421 |
| NPI Number | 1609848878 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609848878 | NPI | - | NPPES |
| 0066068 | Medicaid | IA | |
| 2601013 | Other | IA | IOWA CARE |
| 20023 | Other | IA | TRICARE |
| 6230290 | Other | IA | AETNA |
| A5031401 | Other | IA | JOHN DEERE UHC RIVER VALL |
| 29705 | Other | IA | COVENTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 07724 (Iowa) | Primary |
Keith A Colwell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6057 Se 14th St, Des Moines, IA 50320 Phone: 515-285-4759 Fax: 515-287-2948 | |
Drs Work And Carlson Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1145 66th St, Des Moines, IA 50311 Phone: 515-279-0856 Fax: 515-255-6907 | |
Dental Connections Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 9th St, Ste 190, Des Moines, IA 50314 Phone: 515-244-9136 Fax: 515-244-9153 | |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3737 Merle Hay Rd, Des Moines, IA 50310 Phone: 515-418-9848 | |
Barbara A Knapp Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Fifth Ave, Suite 939, Des Moines, IA 50309 Phone: 515-243-4616 | |
Stephen J. Burds, D.d.s., L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 High St, Suite 201, Des Moines, IA 50309 Phone: 515-244-9565 Fax: 515-288-7239 | |
Skywalk Hub Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Walnut St, Suite 134b, Des Moines, IA 50309 Phone: 515-243-6311 Fax: 515-244-1572 |