Ancell Family Dentistry
Dentist, General Practice in West Des Moines, IA. Organization (NPI-2).
NPI number1609030337
StatusActive
Last updated in NPPESJul 11, 2008
Details
- NPI
- 1609030337
- Entity type
- Organization (NPI-2)
- Legal business name
- Ancell Family Dentistry
- Organization subpart
- No
- Enumeration date
- Jul 11, 2008
- Last updated
- Jul 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 08114IA | IA | Yes |
Practice location
800 S 50th StSte. 105
West Des Moines, IA 50265-5381
Phone 515-226-9800 · Fax 515-226-9804
Mailing address
800 S 50th StSte. 105
West Des Moines, IA 50265-5381
Phone 515-226-9800 · Fax 515-226-9804
Authorized official
Brian Wade Ancell
General Dentist
5152269800
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