| Ocean Dental Of Iowa | |
|
1345 E University Ave # 302 Des Moines IA 50316-2461 | |
| (515) 264-9022 | |
| Not Available |
| Full Name | Ocean Dental Of Iowa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1345 E University Ave # 302, Des Moines, Iowa |
| Authorized Official Name and Position | Chad B. Hoecker (OWNER) |
| Authorized Official Contact | 4057070600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Dental Of Iowa 209 Lilac Dr Ste 120 Edmond OK 73034-7206 Ph: (405) 707-6142 | Ocean Dental Of Iowa 1345 E University Ave # 302 Des Moines IA 50316-2461 Ph: (515) 264-9022 |
| NPI Number | 1801919576 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801919576 | NPI | - | NPPES |
| 0766949 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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