| Lifepoint I Dental Group, Llc | |
|
1903 Ep True Pkwy Ste 301 West Des Moines IA 50265-7000 | |
| (515) 224-1618 | |
| (515) 226-0165 |
| Full Name | Lifepoint I Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1903 Ep True Pkwy Ste 301, West Des Moines, Iowa |
| Authorized Official Name and Position | Angelina J Blass (MEMBER) |
| Authorized Official Contact | 5159655999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifepoint I Dental Group, Llc 2785 N Ankeny Blvd Ste 26 Ankeny IA 50023-4705 Ph: (515) 965-5999 | Lifepoint I Dental Group, Llc 1903 Ep True Pkwy Ste 301 West Des Moines IA 50265-7000 Ph: (515) 224-1618 |
| NPI Number | 1295033421 |
|---|---|
| Provider Enumeration Date | 03/12/2011 |
| Last Update Date | 09/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295033421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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