| Smile Squad | |
|
1111 9th Street Suite 190 Des Moines IA 50314 | |
| (515) 244-9136 | |
| (515) 244-9153 |
| Full Name | Smile Squad |
|---|---|
| Speciality | Dentist |
| Location | 1111 9th Street, Des Moines, Iowa |
| Authorized Official Name and Position | Carly Ross (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5152449136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Squad 1111 9th Street Suite 190 Des Moines IA 50314 Ph: (515) 244-9136 | Smile Squad 1111 9th Street Suite 190 Des Moines IA 50314 Ph: (515) 244-9136 |
| NPI Number | 1982266979 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982266979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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