Individual
DR. JACK THOMAS WARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5950 VILLAGE VIEW DR, SUITE 200, WEST DES MOINES, IA 50266-3844
(515) 225-1677
(515) 457-3175
Mailing address
5950 VILLAGE VIEW DR, SUITE 200, WEST DES MOINES, IA 50266-3844
(515) 225-1677
(515) 457-3175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08631
IA
1223P0221X
Pediatric Dentistry
Primary
08631
IA
1223P0221X
Pediatric Dentistry
25036
TX
Other
Enumeration date
06/11/2009
Last updated
09/12/2013
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