STEFFANY L MOHAN DDS PC NPI 1386801108

NPI Information

NPI: 1386801108
Provider Name: STEFFANY L MOHAN DDS PC

Doing Business As: PLAZA DENTAL GROUP

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1089 JORDAN CREEK PKWY
SUITE 100
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 224-5999
Get Directions

STEFFANY L MOHAN DDS PC is a dental clinic center in West Des Moines, IA. STEFFANY L MOHAN DDS PC NPI is 1386801108. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Plaza Dental Group.

The provider's business location address is:

1089 JORDAN CREEK PKWY
SUITE 100
WEST DES MOINES, IA
ZIP 50266-829
Phone: (515) 224-5999
Fax: (515) 224-5966

The provider's authorized official is Steffany Mohan .
The authorized official title is Dentist/business Owner and has the following contact phone number (515) 224-5999.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 10/2/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	7835	IOWA	No
2	332B00000X	Durable Medical Equipment & Medical Supplies				No
3	261QD0000X	Clinic/Center	Dental	7835	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0197160	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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