| Gregory C. Brandt, Dds, Pc | |
|
907 N. Ankeny Blvd. Ankeny IA 50023 | |
| (515) 964-1490 | |
| (515) 965-5603 |
| Full Name | Gregory C. Brandt, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 907 N. Ankeny Blvd., Ankeny, Iowa |
| Authorized Official Name and Position | Gregory C. Brandt (PRESIDENT) |
| Authorized Official Contact | 5159641490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory C. Brandt, Dds, Pc Po Box 547 Ankeny IA 50021-0547 Ph: (515) 964-1490 | Gregory C. Brandt, Dds, Pc 907 N. Ankeny Blvd. Ankeny IA 50023 Ph: (515) 964-1490 |
| NPI Number | 1063557643 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063557643 | NPI | - | NPPES |
| 514194 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6962 (Iowa) | Primary |
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