| Jordan Creek Pediatric Dentistry, Inc | |
|
1055 Jordan Creek Pkwy Ste 110 West Des Moines IA 50266-5821 | |
| (515) 222-1800 | |
| Not Available |
| Full Name | Jordan Creek Pediatric Dentistry, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1055 Jordan Creek Pkwy, West Des Moines, Iowa |
| Authorized Official Name and Position | Robert R Burns (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 5152221800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Creek Pediatric Dentistry, Inc 1055 Jordan Creek Pkwy Ste 110 West Des Moines IA 50266-5821 Ph: () - | Jordan Creek Pediatric Dentistry, Inc 1055 Jordan Creek Pkwy Ste 110 West Des Moines IA 50266-5821 Ph: (515) 222-1800 |
| NPI Number | 1144413659 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 08/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144413659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 08344 (Iowa) | Primary |
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