West Des Moines Dental Center Inc. | |
1701 22nd St #101 West Des Moines IA 50266 | |
(515) 224-4867 | |
(515) 223-1069 |
Full Name | West Des Moines Dental Center Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 1701 22nd St #101, West Des Moines, Iowa |
Authorized Official Name and Position | John William Meyer (OWNER) |
Authorized Official Contact | 5152244867 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
West Des Moines Dental Center Inc. 2500 Country Side Cir West Des Moines IA 50265-7642 Ph: (515) 224-4867 | West Des Moines Dental Center Inc. 1701 22nd St #101 West Des Moines IA 50266 Ph: (515) 224-4867 |
NPI Number | 1104953298 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104953298 | NPI | - | NPPES |
3007963 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 06727 (Iowa) | Primary |
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