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Contact Information

WEST DES MOINES DENTAL CENTER INC.
1701 22ND ST #101
WEST DES MOINES, IA50266
 Phone: 515-224-4867
 Fax: 515-223-1069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for WEST DES MOINES DENTAL CENTER INC.

NPI Number 1104953298
LBN Legal business name WEST DES MOINES DENTAL CENTER INC.
Authorized official JOHN MEYER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA License # 06727
IA Medicaid 3007963
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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