NPIMap

Organization Active NPI

DW Dental LLC

Doing business as Associate Dentists PC

  • Dental Clinic/Center
  • Council Bluffs, IA
National Provider Identifier
1740005321
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DW DENTAL LLC
Doing business as
Associate Dentists PC
Practice address
3549 11TH Ave
Council Bluffs, IA 51501-5641
Phone
(712) 328-0708
Fax
(712) 328-8991
NPI assigned
Nov 19, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Dr. Dillon Tyler Woods, DDSNPI 1376277517
Title
Owner
Phone
(402) 669-7536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3549 11TH Ave
Council Bluffs, IA 51501-5641

Mailing address

3549 11TH Ave
Council Bluffs, IA 51501-5641
Phone (712) 328-0708

Other names 1

  • Associate Dentists PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1740005321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 11TH AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515015641",
            "telephone_number": "712-328-0708",
            "fax_number": "712-328-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 11TH AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515015641",
            "telephone_number": "712-328-0708",
            "fax_number": "712-328-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DW DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "DILLON",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-669-7536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associate Dentists PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.