Individual
DENNIS P O'MEARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 73RD ST., SUITE 7, DES MOINES, IA 50311
(515) 243-0591
(515) 243-0592
Mailing address
1000 73RD ST., 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
05/15/2007
Last updated
07/09/2007
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