Advanced Oral Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ADVANCED ORAL SURGERY, PLLC

Practice address

4320 Westown Pkwy Ste 100
West Des Moines, IA 50266-1096

Phone

(515) 417-1500

Fax

(515) 417-2811

NPI assigned

Mar 17, 2026

Organization subpart

Yes

Parent organization

ADVANCED ORAL SURGERY, PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenn Heritage

Title

Credentialing Manager

Phone

(402) 805-4516

Specialties & licenses 1

Addresses

Other names 1

• Iowa Dental Implants & Oral Surgery Doing business as

Tax ID family

Advanced Oral Surgery PLLC2 organizations share this tax ID, including this one

Part of

Advanced Oral Surgery PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Council Bluffs, IA
  • NPI 1154970655
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Advanced Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Council Bluffs, IA
  • NPI 1154970655
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1285582262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WESTOWN PKWY STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661096",
            "telephone_number": "515-417-1500",
            "fax_number": "515-417-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WESTOWN PKWY STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661096",
            "telephone_number": "515-417-1500",
            "fax_number": "515-417-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORAL SURGERY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED ORAL SURGERY, PLLC",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "HERITAGE",
        "authorized_official_first_name": "JENN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "402-805-4516"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Dental Implants & Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in West Des Moines, IA
• Oral and Maxillofacial Surgery (Dentist) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.