| Shenandoah Family Dentistry, P.c. | |
|
118 N Blossom St Shenandoah IA 51601-1206 | |
| (712) 246-4391 | |
| (712) 246-2921 |
| Full Name | Shenandoah Family Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 118 N Blossom St, Shenandoah, Iowa |
| Authorized Official Name and Position | Allen F Carrell (PRESIDENT) |
| Authorized Official Contact | 7122464391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Family Dentistry, P.c. 118 N Blossom St Shenandoah IA 51601-1206 Ph: (712) 246-4391 | Shenandoah Family Dentistry, P.c. 118 N Blossom St Shenandoah IA 51601-1206 Ph: (712) 246-4391 |
| NPI Number | 1588759732 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588759732 | NPI | - | NPPES |
| 0078758 | Medicaid | IA | |
| 837702 | Other | UNITED CONCORDIA | |
| 06049 | Other | IA | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7243 (Iowa) | Primary |
| 1223G0001X | Dentist - General Practice | 7818 (Iowa) | Secondary |
Southwest Iowa Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 W Nishna Rd, Shenandoah, IA 51601 Phone: 712-246-2180 Fax: 712-246-1683 | |
Aesthetic & Family Dentristry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S Elm St, Shenandoah, IA 51601 Phone: 712-246-5587 |