Organization
SIMPLY SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GODFREY (OWNER)
(515) 360-0393
Entity
Organization
Contact information
Practice address
348 SE CEDARWOOD DR, GRIMES, IA 50111-1143
(515) 360-0393
Mailing address
348 SE CEDARWOOD DR, GRIMES, IA 50111-1143
(515) 360-0393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
04/24/2024
Last updated
11/30/2024
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