Individual
DR. JEREMY ALLEN PINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 N B ST, INDIANOLA, IA 50125-2429
(515) 961-8411
(515) 962-1810
Mailing address
200 N B ST, INDIANOLA, IA 50125-2429
(515) 961-8411
(515) 962-1810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08152
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1263277
—
IA
01
—
1391466
UNITED CONCORDIA
IA
Enumeration date
10/20/2006
Last updated
07/08/2007
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