Iowa Oral And Maxillofacial Surgeons, Pc | |
1469 29th St West Des Moines IA 50266-1302 | |
(515) 223-6529 | |
(515) 223-5448 |
Full Name | Iowa Oral And Maxillofacial Surgeons, Pc |
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Speciality | Dentist |
Location | 1469 29th St, West Des Moines, Iowa |
Authorized Official Name and Position | Diana Gail Weirich (INSURANCE COORDINATOR) |
Authorized Official Contact | 5153271647 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Iowa Oral And Maxillofacial Surgeons, Pc 1469 29th St West Des Moines IA 50266-1302 Ph: (515) 223-6529 | Iowa Oral And Maxillofacial Surgeons, Pc 1469 29th St West Des Moines IA 50266-1302 Ph: (515) 223-6529 |
NPI Number | 1609846583 |
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Provider Enumeration Date | 01/24/2006 |
Last Update Date | 05/30/2008 |
Medicare PECOS PAC ID | 6800787607 |
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Medicare Enrollment ID | O20040322001471 |
Identifier | Type | State | Issuer |
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1609846583 | NPI | - | NPPES |
22178 | Other | IA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
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1223P0106X | Dentist - Oral And Maxillofacial Pathology | 06447 (Iowa) | Primary |
Provider Name | Todd E Nielsen |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1053355586 PECOS PAC ID: 0143394726 Enrollment ID: I20080730000524 |
Provider Name | Neil T Dunbar |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1851301196 PECOS PAC ID: 2062586647 Enrollment ID: I20120328000786 |
Provider Name | Darren R Jirsa |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1730199076 PECOS PAC ID: 3870667454 Enrollment ID: I20120412000499 |
Provider Name | Joel S Reynolds |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1346474376 PECOS PAC ID: 7719126101 Enrollment ID: I20130812000554 |
Provider Name | Ashley Brooke Sunstrum |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1407260458 PECOS PAC ID: 6608092655 Enrollment ID: I20140728001262 |
Provider Name | Joshua T Richman |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1245407733 PECOS PAC ID: 1658683792 Enrollment ID: I20170922002122 |
Provider Name | Sean G Harvey |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1104367416 PECOS PAC ID: 1759761935 Enrollment ID: I20220706000906 |
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