DENTISTRY ON 5TH NPI 1588082739

NPI Information

DENTISTRY ON 5TH is a general practice dentist in Des Moines, IA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTISTRY ON 5TH NPI is 1588082739. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

505 5TH AVE
SUITE 939
DES MOINES, IA
ZIP 50309-324
Phone: (515) 243-4616

The provider's authorized official is Leann Kim Sou .
The authorized official title is Office Manager and has the following contact phone number (515) 243-4616.

The enumeration date for this NPI number is 4/4/2014 and was last updated on 4/4/2014.

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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