| Shadow Creek Pediatric Dentistry, Llc | |
|
822 Ne Alices Rd Waukee IA 50263-8857 | |
| (515) 264-2772 | |
| Not Available |
| Full Name | Shadow Creek Pediatric Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 822 Ne Alices Rd, Waukee, Iowa |
| Authorized Official Name and Position | Nancy I Hammond (OWNER) |
| Authorized Official Contact | 5154801754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Creek Pediatric Dentistry, Llc 5910 Fairway Ct West Des Moines IA 50266-3851 Ph: (515) 480-1754 | Shadow Creek Pediatric Dentistry, Llc 822 Ne Alices Rd Waukee IA 50263-8857 Ph: (515) 264-2772 |
| NPI Number | 1538794516 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538794516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dba Lush Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Lush Family Dental, 2505 Se Encompass Dr., Waukee, IA 50263 Phone: 515-303-0909 | |
Mjb Holdings Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2153 Se La Grant Pkwy, Waukee, IA 50263 Phone: 515-644-2264 | |
Walnut Hills Pediatric Dentistry, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 E Hickman Road, Waukee, IA 50263 Phone: 515-987-1155 Fax: 515-987-1181 | |
Prairie Endodontics Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1358 Se University Ave, Waukee, IA 50263 Phone: 515-393-2556 Fax: 515-393-6782 | |
The Nest Pediatric Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Se University Ave, Waukee, IA 50263 Phone: 515-650-6378 |