Periodontal Services Of Ames, Plc in Ames - Periodontics

Periodontal Services Of Ames, Plc - NPI 1013174614

Periodontal Services Of Ames, Plc is a Periodontics in Ames, Iowa. Periodontal Services Of Ames, Plc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontal Services Of Ames, Plc is 1013174614. The last update date is 2008-05-21.

Periodontal Services Of Ames, Plc's current location address is 515 Grand Ave, Ames, Iowa. You can contact this provider via phone number 5152334013 and fax number 5152336204. The mailing address for Periodontal Services Of Ames, Plc is 515 Grand Ave, Ames, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Periodontal Services Of Ames, Plc
Address 515 Grand Ave, Ames, Iowa
Phone Number 5152334013
Fax Number 5152336204
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bilek Otto Guy
Credentials D.D.S., M.
Telephone Number 5152334013

NPI Number Detail

NPI Number 1013174614
Provider Enumeration Date 2008-05-21
Last Updated Date 2008-05-21

Provider Mailing Address Detail

Address 515 Grand Ave
City Ames
State Iowa (IA)
Post Code 500106079
Phone Number 5152334013
Fax Number 5152336204

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 5909
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Periodontal Services Of Ames, Plc

What is the unique identifier code issued to Periodontal Services Of Ames, Plc by the Centers for Medicare & Medicaid Services (CMS)?

The Periodontal Services Of Ames, Plc has been assigned the NPI (National Provider Identifier) 1013174614. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Periodontal Services Of Ames, Plc's facilities are situated?

The facilities of Periodontal Services Of Ames, Plc are physically located at the following address: 515 Grand Ave, Ames, IA, 500106079.

What is Periodontal Services Of Ames, Plc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Periodontal Services Of Ames, Plc's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.

On what date did the Periodontal Services Of Ames, Plc receive the assignment of its 1013174614 from the Centers for Medicare & Medicaid Services?

The Periodontal Services Of Ames, Plc was issued its 1013174614 by the Centers for Medicare & Medicaid Services on 2008-05-21.

When was the information regarding Periodontal Services Of Ames, Plc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Periodontal Services Of Ames, Plc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-21.

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