Organization
LIFEPOINT DENTAL PARTNERS IV
Active
Parent organization
LIFEPOINT DENTAL PARTNERS 1
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEPOINT DENTAL PARTNERS 1
Authorized official
LEANN SOU (DIRECTOR OF OPERATIONS)
(515) 224-1618
Entity
Organization
Contact information
Practice address
137 LYNN AVE, AMES, IA 50014-7126
(515) 292-7262
(515) 272-7270
Mailing address
1903 EP TRUE PKWY, SUITE 301, WEST DES MOINES, IA 50265-7000
(515) 224-1618
(888) 278-0530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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