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PELOTON DENTAL SERVICES LLC NPI 1629543707


NPI Information

NPI: 1629543707
Provider Name: PELOTON DENTAL SERVICES LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1630 SW WHITE BIRCH CIR
ANKENY, IA
ZIP 50023
Phone: (515) 965-4470
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PELOTON DENTAL SERVICES LLC is a general practice dentist in Ankeny, IA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PELOTON DENTAL SERVICES LLC NPI is 1629543707. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1630 SW WHITE BIRCH CIR
ANKENY, IA
ZIP 50023-213
Phone: (515) 965-4470

The provider's authorized official is Kelly Huston .
The authorized official title is Owner and has the following contact phone number (319) 610-3505.

The enumeration date for this NPI number is 10/4/2018 and was last updated on 10/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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