Ingersoll Dental Group Pc

LBN: Ingersoll Dental Group Pc
Ingersoll Dental Group Pc is an health care organization with primary practice located at 3830 Ingersoll Ave , Des Moines IA 50312-3413. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ingersoll Dental Group Pc can be contacted via phone (515) 274-5151, or through Kouri, Zachary Andrew via phone (515) 274-5151.

Contact Information

Primary practice address
3830 Ingersoll Ave Des Moines IA 50312-3413
Phone: (515) 274-5151
Fax: (515) 274-6259
Website:
Map and Directions
Authorized official contact:
Name: Kouri, Zachary Andrew Doctor of Dental Surgery (DDS)
Phone: (515) 274-5151

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 08239 Iowa

Profile Details

NPI number 1659565349
LBN Legal business name Ingersoll Dental Group Pc
DBA Doing business as
Authorized official Kouri, Zachary Andrew Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Sep 5th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659565349 NPPES
Iowa MEDICAID 1480590
Iowa MEDICAID 1481259

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