Peddicord Family Dentistry | |
121 Ne 18th St Ste C Ankeny IA 50021-4697 | |
(515) 963-3339 | |
Not Available |
Full Name | Peddicord Family Dentistry |
---|---|
Speciality | Clinic/center - Dental |
Location | 121 Ne 18th St Ste C, Ankeny, Iowa |
Authorized Official Name and Position | Erika Ellen Peddicord (OWNER) |
Authorized Official Contact | 5159633339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peddicord Family Dentistry 121 Ne 18th St Ste C Ankeny IA 50021-4697 Ph: (515) 963-3339 | Peddicord Family Dentistry 121 Ne 18th St Ste C Ankeny IA 50021-4697 Ph: (515) 963-3339 |
NPI Number | 1134437080 |
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Provider Enumeration Date | 09/14/2010 |
Last Update Date | 09/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134437080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 08497 (Iowa) | Primary |
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