Organization
GROVE AND PLATT DENTAL ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L GROVE (DENTIST OWNER)
(515) 986-4001
Entity
Organization
Contact information
Practice address
1541 S THIRD STREET, SUITE 300, GRIMES, IA 50111
(515) 986-4001
(515) 986-4037
Mailing address
1541 S THIRD STREET, SUITE 300, GRIMES, IA 50111
(515) 986-4001
(515) 986-4037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6772
IA
122300000X
Dentist
Primary
8358
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0470781
—
IA
01
—
39729
WELLMARK BCBS
IA
Enumeration date
02/08/2006
Last updated
08/22/2020
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