Organization
DENTAL STUDIO OF IOWA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNOR ELMITT DDS (PRESIDENT)
(515) 707-4383
Entity
Organization
Contact information
Practice address
5495 NW 100TH STREET, JOHNSTON, IA 50131
(515) 707-4383
Mailing address
905 NW HARVEST DR, GRIMES, IA 50111-2300
(515) 707-4383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013329978
—
AK
05
—
1942615232
—
IA
Enumeration date
08/03/2018
Last updated
08/03/2018
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