| Prairie Endodontics Plc | |
|
1358 Se University Ave Waukee IA 50263-8933 | |
| (515) 393-2556 | |
| (515) 393-6782 |
| Full Name | Prairie Endodontics Plc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1358 Se University Ave, Waukee, Iowa |
| Authorized Official Name and Position | Michael Mccunniff (OWNER) |
| Authorized Official Contact | 3199394105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Endodontics Plc 1358 Se University Ave Waukee IA 50263-8933 Ph: (515) 393-2556 | Prairie Endodontics Plc 1358 Se University Ave Waukee IA 50263-8933 Ph: (515) 393-2556 |
| NPI Number | 1477277101 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477277101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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