| University Dental Group | |
|
4626 University Ave Des Moines IA 50311-3339 | |
| (515) 277-3766 | |
| (515) 271-5079 |
| Full Name | University Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4626 University Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Sharon L Loso (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5635821448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dental Group 40 Main St Ste 100 Dubuque IA 52001-7654 Ph: (563) 582-1448 | University Dental Group 4626 University Ave Des Moines IA 50311-3339 Ph: (515) 277-3766 |
| NPI Number | 1457911091 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457911091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Keith A Colwell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6057 Se 14th St, Des Moines, IA 50320 Phone: 515-285-4759 Fax: 515-287-2948 | |
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