Simply Smiles | |
348 Se Cedarwood Dr Grimes IA 50111-1143 | |
(515) 360-0393 | |
Not Available |
Full Name | Simply Smiles |
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Speciality | Dentist |
Location | 348 Se Cedarwood Dr, Grimes, Iowa |
Authorized Official Name and Position | Amanda Godfrey (OWNER) |
Authorized Official Contact | 5153600393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Simply Smiles 348 Se Cedarwood Dr Grimes IA 50111-1143 Ph: (515) 360-0393 | Simply Smiles 348 Se Cedarwood Dr Grimes IA 50111-1143 Ph: (515) 360-0393 |
NPI Number | 1821844689 |
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Provider Enumeration Date | 04/24/2024 |
Last Update Date | 11/30/2024 |
Medicare PECOS PAC ID | 8325573595 |
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Medicare Enrollment ID | O20241125002136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821844689 | NPI | - | NPPES |
Provider Name | Nicholas Couse |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1679501845 PECOS PAC ID: 6305371576 Enrollment ID: I20241125002240 |
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