Grimes Pediatric Dentistry P C
Organization Active NPI Pediatric Dentistry · Grimes, IA
NPI 1659934701 · NPPES record last updated Apr 15, 2019
Key facts
- NPI
- 1659934701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- GRIMES PEDIATRIC DENTISTRY P C
- Practice address
- 1551 SE 3Rd St Ste 100
Grimes, IA 50111-8861 - Phone
- (515) 325-1719
- Fax
- (515) 373-4883
- NPI assigned
- Apr 15, 2019
- Organization subpart
- No
Authorized official
- Name
- Emmy Montes
- Title
- Cbo Manager
- Phone
- (563) 552-0053
Practitioners 1
National Provider Directory
Locations
1551 SE 3rd St
Ste 100
Grimes, IA 50111
Phone (515) 325-1719
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
1551 SE 3Rd St Ste 100
Grimes, IA 50111-8861
Mailing address
40 Main St Ste 100
Dubuque, IA 52001-7654
Phone (563) 582-1448
Other names
- Grimes Pediatric Dentistry
Other providers in Grimes, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.