| Plum Drive Dental | |
|
1471 E 1st St Grimes IA 50111-5292 | |
| (515) 278-2888 | |
| (515) 253-9774 |
| Full Name | Plum Drive Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1471 E 1st St, Grimes, Iowa |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plum Drive Dental 1471 E 1st St Grimes IA 50111-5292 Ph: (515) 278-2888 | Plum Drive Dental 1471 E 1st St Grimes IA 50111-5292 Ph: (515) 278-2888 |
| NPI Number | 1003168485 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003168485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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