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Contact Information

GRANDGENETT FAMILY DENTAL, PC
2208 PHILADELPHIA ST
AMES, IA50010-8700
 Phone: 515-956-3426
 Fax: 515-956-3424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for GRANDGENETT FAMILY DENTAL, PC

NPI Number 1770750028
LBN Legal business name GRANDGENETT FAMILY DENTAL, PC
Authorized official CRAIG GRANDGENETT - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2008
Last updated 05/14/2008 - About 18 years ago
Identifiers
IA License # 07931
IA License # 07946
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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