NPI 1154701316

Lifepoint IV Dental Group LLC

Organisation General Practice Dentistry Ankeny, IA

Practice location

Address: 110 SE Grant St Suite 101, Ankeny, IA 50021-3151
Phone: (515) 965-1800
Fax: (888) 278-0530
Mailing address: 3311 SW 9th St Suite 200, Des Moines, IA 50315-7677

Authorised official

Name: Aaron M Blass
Title: President
Phone: (515) 965-1800

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 08472 (IA)

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Registry record

NPI: 1154701316
Entity type: Organization
NPI issued: 3 Jun 2015
Record last updated: 3 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.