| Keith A Colwell Dds Pc | |
|
6057 Se 14th St Des Moines IA 50320 | |
| (515) 285-4759 | |
| (515) 287-2948 |
| Full Name | Keith A Colwell Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 6057 Se 14th St, Des Moines, Iowa |
| Authorized Official Name and Position | Keith Allan Colwell (OWNER) |
| Authorized Official Contact | 5152854759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith A Colwell Dds Pc 6057 Se 14th St Des Moines IA 50320 Ph: (515) 285-4759 | Keith A Colwell Dds Pc 6057 Se 14th St Des Moines IA 50320 Ph: (515) 285-4759 |
| NPI Number | 1063691962 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063691962 | NPI | - | NPPES |
| 1114098340 | Medicaid | IA | |
| 7005942 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5559 (Iowa) | Primary |
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