| Grandgenett Family Dental, Pc | |
|
2208 Philadelphia St Ames IA 50010-8700 | |
| (515) 956-3426 | |
| (515) 956-3424 |
| Full Name | Grandgenett Family Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2208 Philadelphia St, Ames, Iowa |
| Authorized Official Name and Position | Craig A Grandgenett (OWNER/PRESIDENT) |
| Authorized Official Contact | 5159563426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grandgenett Family Dental, Pc 2208 Philadelphia St Ames IA 50010-8700 Ph: (515) 956-3426 | Grandgenett Family Dental, Pc 2208 Philadelphia St Ames IA 50010-8700 Ph: (515) 956-3426 |
| NPI Number | 1770750028 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770750028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07931 (Iowa) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 07946 (Iowa) | Secondary |
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