Broadlawns Medical Center in Des Moines - Dentist
Broadlawns Medical Center - NPI 1609848878
Broadlawns Medical Center is a Dentist in Des Moines, Iowa. Broadlawns Medical Center practices all healthcare services and medical treatments related to Dentist. The NPI Number for Broadlawns Medical Center is 1609848878. The last update date is 2020-08-22.
Broadlawns Medical Center's current location address is 1801 Hickman Road, Des Moines, Iowa. You can contact this provider via phone number 5152822421. The mailing address for Broadlawns Medical Center is 1801 Hickman Road, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadlawns Medical Center |
|---|---|
| Address | 1801 Hickman Road, Des Moines, Iowa |
| Phone Number | 5152822421 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF MEDI |
|---|---|
| Authorized Official Name | Mandracchia J Vincent |
| Credentials | DPM |
| Telephone Number | 5152822562 |
NPI Number Detail
| NPI Number | 1609848878 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1801 Hickman Road |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503141505 |
| Phone Number | 5152822421 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7724 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66068 | IA | -- | |
| 2601013 | IA | IOWA CARE | |
| 20023 | IA | TRICARE | |
| 6230290 | IA | AETNA | |
| A5031401 | IA | JOHN DEERE UHC RIVER VALL | |
| 29705 | IA | COVENTRY |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Broadlawns Medical Center by the Centers for Medicare & Medicaid Services?
The Broadlawns Medical Center has been issued the NPI (National Provider Identifier) 1609848878 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Broadlawns Medical Center?
The Broadlawns Medical Center is physically situated at 1801 Hickman Road, in the city of Des Moines, state of IA, with the postal code 503141505.
What is Broadlawns Medical Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Broadlawns Medical Center's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When was the Broadlawns Medical Center's 1609848878 issued?
The Broadlawns Medical Center's 1609848878 was issued on 2006-02-02.
As of what date was the information pertaining to Broadlawns Medical Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Broadlawns Medical Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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