| Summit Family Dental, P.c. | |
|
1705 N Ankeny Blvd Ankeny IA 50023-4102 | |
| (515) 205-3398 | |
| Not Available |
| Full Name | Summit Family Dental, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1705 N Ankeny Blvd, Ankeny, Iowa |
| Authorized Official Name and Position | Nathan Leinen (SECRETARY/TREASURER) |
| Authorized Official Contact | 5154460733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Dental, P.c. 1705 N Ankeny Blvd Ankeny IA 50023-4102 Ph: (515) 205-3398 | Summit Family Dental, P.c. 1705 N Ankeny Blvd Ankeny IA 50023-4102 Ph: (515) 205-3398 |
| NPI Number | 1154779676 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154779676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8260 (Iowa) | Primary |
| 122300000X | Dentist | 8918 (Iowa) | Secondary |
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