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Organization
O'MEARA DENTAL
Active
Organization
O'MEARA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS PATRICK O'MEARA DDS (DENTIST)
(515) 243-0591
Entity
Organization
Contact information
Practice address
1000 73RD STREET, SUITE 7, DES MOINES, IA 50311
(515) 243-0591
(515) 243-0592
Mailing address
1000 73RD STREET, SUITE 7, DES MOINES, IA 50311
(515) 243-0591
(515) 243-0592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6361
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152157
—
IA
01
—
15215
BCBS
IA
01
—
980874
UNITED CONCORDIA TRICARE
—
Enumeration date
08/31/2006
Last updated
08/22/2020
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