Organization
CO SDS II PLLC
Active
Parent organization
CO SDS II PLLC
Other names
Children's Dentistry of Council Bluffs
Organization subpart
Yes
Provider details
NPI number
Legal business name
CO SDS II PLLC
Authorized official
CHARLOTTE V DASCH (SR DIRECTOR OF CREDENTIALING)
(504) 638-0303
Entity
Organization
Contact information
Practice address
40 NORTHCREST DR STE 1, COUNCIL BLUFFS, IA 51503-1698
(712) 328-9605
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(504) 638-0303
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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