| Southwest Iowa Dental Associates | |
|
1213 W Nishna Rd Shenandoah IA 51601-2115 | |
| (712) 246-2180 | |
| (712) 246-1683 |
| Full Name | Southwest Iowa Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 1213 W Nishna Rd, Shenandoah, Iowa |
| Authorized Official Name and Position | Jillian Travis (OWNER) |
| Authorized Official Contact | 7122462180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Iowa Dental Associates 1213 W Nishna Rd Shenandoah IA 51601-2115 Ph: (712) 246-2180 | Southwest Iowa Dental Associates 1213 W Nishna Rd Shenandoah IA 51601-2115 Ph: (712) 246-2180 |
| NPI Number | 1013215805 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 01/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013215805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5587 (Iowa) | Primary |
Aesthetic & Family Dentristry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S Elm St, Shenandoah, IA 51601 Phone: 712-246-5587 | |
Shenandoah Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N Blossom St, Shenandoah, IA 51601 Phone: 712-246-4391 Fax: 712-246-2921 |