Paragon Dental PLLC
Dentist, General Practice in Urbandale, IA. Organization (NPI-2).
NPI number1831815208
StatusActive
Last updated in NPPESOct 17, 2022
Details
- NPI
- 1831815208
- Entity type
- Organization (NPI-2)
- Legal business name
- Paragon Dental PLLC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2022
- Certification date
- Oct 17, 2022
- Last updated
- Oct 17, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
7177 Hickman Rd Ste 1Urbandale, IA 50322-4844
Phone 515-253-9655
Mailing address
7177 Hickman Rd Ste 1Urbandale, IA 50322-4844
Phone 515-253-9655
Authorized official
Vikas Goel
Owner
3154394503
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