Lifepoint IV Dental Group LLC

NPI #1154701316 in Ankeny, Iowa

Provider Information

NPI Number
1154701316
Entity Type
Organization
Organization Name
Lifepoint IV Dental Group LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LIFEPOINT DENTAL GROUP
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 3, 2015
Last Updated
Jun 3, 2015

Practice Location

Address
110 SE GRANT ST
Address 2
SUITE 101
City
Ankeny
State
Iowa
ZIP Code
50021-3151
Phone
(515) 965-1800

Authorized Official

Name
AARON M BLASS
Title
PRESIDENT
Phone
(515) 965-1800

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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