JORDAN CREEK PEDIATRIC DENTISTRY INC NPI 1144413659

NPI Information

JORDAN CREEK PEDIATRIC DENTISTRY, INC is a pediatric dentistry dentist in West Des Moines, IA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JORDAN CREEK PEDIATRIC DENTISTRY, INC NPI is 1144413659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1055 JORDAN CREEK PKWY
STE 110
WEST DES MOINES, IA
ZIP 50266-821
Phone: (515) 222-1800

The provider's authorized official is Robert R Burns .
The authorized official title is Pediatric Dentist/owner and has the following contact phone number (515) 222-1800.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 8/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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