Lifepoint Dental Partners IV

NPI #1841627536 in Ames, Iowa

Provider Information

NPI Number: 1841627536
Entity Type: Organization
Organization Name: Lifepoint Dental Partners IV
Subpart: Yes (part of a larger organization)
Parent Organization: LIFEPOINT DENTAL PARTNERS 1
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 26, 2013
Last Updated: Sep 26, 2013

Practice Location

Address: 137 LYNN AVE
City: Ames
State: Iowa
ZIP Code: 50014-7126
Phone: (515) 292-7262

Authorized Official

Name: LEANN SOU
Title: DIRECTOR OF OPERATIONS
Phone: (515) 224-1618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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