Skywalk Dental Office in Des Moines - Dentist

Skywalk Dental Office - NPI 1700053055

Skywalk Dental Office is a Dentist in Des Moines, Iowa. Skywalk Dental Office practices all healthcare services and medical treatments related to Dentist. The NPI Number for Skywalk Dental Office is 1700053055. The last update date is 2008-05-14.

Skywalk Dental Office's current location address is 612 Locust St, Des Moines, Iowa. You can contact this provider via phone number 5152803030 and fax number 5152803426. The mailing address for Skywalk Dental Office is 612 Locust St, Des Moines, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Skywalk Dental Office
Address 612 Locust St, Des Moines, Iowa
Phone Number 5152803030
Fax Number 5152803426
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST/OW
Authorized Official Name Collier C David
Credentials DDS
Telephone Number 5152803030

NPI Number Detail

NPI Number 1700053055
Provider Enumeration Date 2008-05-14
Last Updated Date 2008-05-14

Provider Mailing Address Detail

Address 612 Locust St
City Des Moines
State Iowa (IA)
Post Code 503093718
Phone Number 5152803030
Fax Number 5152803426

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 6370
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
159525 IA --
6370 IA IA STATE OF IOWA LICENSE #

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FAQs about Skywalk Dental Office

What is the unique 10-digit identification code assigned to Skywalk Dental Office by the Centers for Medicare & Medicaid Services?

The Skywalk Dental Office has been issued the NPI (National Provider Identifier) 1700053055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Skywalk Dental Office is physically located?

The Skywalk Dental Office is situated at the following address: 612 Locust St, Des Moines, IA 503093718.

What is Skywalk Dental Office's area of expertise and its corresponding taxonomy classification?

The Skywalk Dental Office's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1700053055 to Skywalk Dental Office?

The Centers for Medicare & Medicaid Services originally issued the 1700053055 to Skywalk Dental Office on 2008-05-14.

When was the information related to Skywalk Dental Office most recently updated or refreshed?

The details pertaining to the Skywalk Dental Office, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-14.

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