Keith A Colwell Dds Pc in Des Moines - Dentist

Keith A Colwell Dds Pc - NPI 1063691962

Keith A Colwell Dds Pc is a Dentist in Des Moines, Iowa. Keith A Colwell Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith A Colwell Dds Pc is 1063691962. The last update date is 2008-07-17.

Keith A Colwell Dds Pc's current location address is 6057 Se 14th St, Des Moines, Iowa. You can contact this provider via phone number 5152854759 and fax number 5152872948. The mailing address for Keith A Colwell Dds Pc is 6057 Se 14th St, Des Moines, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Keith A Colwell Dds Pc
Address 6057 Se 14th St, Des Moines, Iowa
Phone Number 5152854759
Fax Number 5152872948
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Colwell Allan Keith
Credentials DDS
Telephone Number 5152854759

NPI Number Detail

NPI Number 1063691962
Provider Enumeration Date 2007-10-26
Last Updated Date 2008-07-17

Provider Mailing Address Detail

Address 6057 Se 14th St
City Des Moines
State Iowa (IA)
Post Code 50320
Phone Number 5152854759
Fax Number 5152872948

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5559
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
1114098340 IA --
7005942 IA --

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FAQs about Keith A Colwell Dds Pc

What is the unique 10-digit identification code assigned to Keith A Colwell Dds Pc by the Centers for Medicare & Medicaid Services?

The Keith A Colwell Dds Pc has been issued the NPI (National Provider Identifier) 1063691962, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Keith A Colwell Dds Pc is geographically located?

The Keith A Colwell Dds Pc is physically situated at the following location: 6057 Se 14Th St, Des Moines, IA, 50320.

What is Keith A Colwell Dds Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Keith A Colwell Dds Pc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Keith A Colwell Dds Pc receive its 1063691962 assignment from the Centers for Medicare & Medicaid Services?

The Keith A Colwell Dds Pc was assigned its 1063691962 by the Centers for Medicare & Medicaid Services on 2007-10-26.

As of what date were the details related to Keith A Colwell Dds Pc most recently updated or revised?

The information pertaining to Keith A Colwell Dds Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-17.

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