Associate Dentists, P.c. | |
3549 11th Ave Council Bluffs IA 51501-5641 | |
(712) 328-0708 | |
(712) 328-8991 |
Full Name | Associate Dentists, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 3549 11th Ave, Council Bluffs, Iowa |
Authorized Official Name and Position | Jimmie L. Pinkham (OWNER/DENTIST) |
Authorized Official Contact | 7123280708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Associate Dentists, P.c. 3549 11th Ave Council Bluffs IA 51501-5641 Ph: (712) 328-0708 | Associate Dentists, P.c. 3549 11th Ave Council Bluffs IA 51501-5641 Ph: (712) 328-0708 |
NPI Number | 1447249230 |
---|---|
Provider Enumeration Date | 10/14/2005 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447249230 | NPI | - | NPPES |
0094250 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7623 (Iowa) | Primary |
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