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Organization

ADVANCED ORAL SURGERY, PLLC

Active
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Organization

ADVANCED ORAL SURGERY, PLLC

Active
Parent organization
ADVANCED ORAL SURGERY, PLLC
Other names
Iowa Dental Implants & Oral Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVANCED ORAL SURGERY, PLLC
Authorized official
JENN HERITAGE (CREDENTIALING MANAGER)
(402) 805-4516
Entity
Organization

Contact information

Practice address
4320 WESTOWN PKWY STE 100, WEST DES MOINES, IA 50266-1096
(515) 417-1500
(515) 417-2811
Mailing address
4320 WESTOWN PKWY STE 100, WEST DES MOINES, IA 50266-1096
(515) 417-1500
(515) 417-2811

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
03/17/2026
Last updated
03/20/2026
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