Summit Family Dental, P.c.

NPI #1154779676 in Ankeny, Iowa

Provider Information

NPI Number: 1154779676
Entity Type: Organization
Organization Name: Summit Family Dental, P.c.
Primary Specialty: Dentist
Enumeration Date: May 25, 2016
Last Updated: May 25, 2016

Practice Location

Address: 1705 N ANKENY BLVD
City: Ankeny
State: Iowa
ZIP Code: 50023-4102
Phone: (515) 205-3398

Authorized Official

Name: DR. NATHAN LEINEN, D.D.S.
Title: SECRETARY/TREASURER
Phone: (515) 446-0733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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