Organization
LIFEPOINT IV DENTAL GROUP LLC
Active
Parent organization
LIFEPOINT DENTAL GROUP
Other names
Lifepoint Dental Partners IV LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEPOINT DENTAL GROUP
Authorized official
AARON M BLASS (PRESIDENT)
(515) 965-1800
Entity
Organization
Contact information
Practice address
110 SE GRANT ST, SUITE 101, ANKENY, IA 50021-3151
(515) 965-1800
(888) 278-0530
Mailing address
3311 SW 9TH ST, SUITE 200, DES MOINES, IA 50315-7677
(515) 243-7641
(888) 278-0530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08472
IA
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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