| Midwest Oral & Facial Surgery, P.c. | |
|
1225 Jordan Creek Pkwy Ste. 120 West Des Moines IA 50266-2345 | |
| (515) 221-0807 | |
| (515) 221-0816 |
| Full Name | Midwest Oral & Facial Surgery, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1225 Jordan Creek Pkwy, West Des Moines, Iowa |
| Authorized Official Name and Position | Peter David Lemon (PRESIDENT) |
| Authorized Official Contact | 5152210807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Oral & Facial Surgery, P.c. 1225 Jordan Creek Pkwy Ste. 120 West Des Moines IA 50266-2345 Ph: (515) 221-0807 | Midwest Oral & Facial Surgery, P.c. 1225 Jordan Creek Pkwy Ste. 120 West Des Moines IA 50266-2345 Ph: (515) 221-0807 |
| NPI Number | 1962534446 |
|---|---|
| Provider Enumeration Date | 03/11/2007 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962534446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8032 (Iowa) | Primary |
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