NPI 1154779676

Summit Family Dental, P.C.

Organisation Dentist Ankeny, IA

Practice location

Address: 1705 N Ankeny Blvd, Ankeny, IA 50023-4102
Phone: (515) 205-3398

Authorised official

Name: Nathan Leinen
Title: Secretary/Treasurer
Phone: (515) 446-0733

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 8260 (IA)

Other Dentist providers in Iowa →

Dentist

Dental Providers Taxonomy 122300000X Licence 8918 (IA)

Registry record

NPI: 1154779676
Entity type: Organization
NPI issued: 25 May 2016
Record last updated: 25 May 2016

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.