Parkway Periodontal Group Pc in West Des Moines - Periodontics
Parkway Periodontal Group Pc - NPI 1205094570
Parkway Periodontal Group Pc is a Periodontics in West Des Moines, Iowa. Parkway Periodontal Group Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Parkway Periodontal Group Pc is 1205094570. The last update date is 2008-05-23.
Parkway Periodontal Group Pc's current location address is 4090 Westown Parkway #a-4, West Des Moines, Iowa. You can contact this provider via phone number 5152239700 and fax number 5152247696. The mailing address for Parkway Periodontal Group Pc is 4090 Westown Parkway #a-4, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Parkway Periodontal Group Pc |
|---|---|
| Address | 4090 Westown Parkway #a-4, West Des Moines, Iowa |
| Phone Number | 5152239700 |
| Fax Number | 5152247696 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Robeson A George |
| Credentials | DDS MS |
| Telephone Number | 5152239700 |
NPI Number Detail
| NPI Number | 1205094570 |
|---|---|
| Provider Enumeration Date | 2008-05-23 |
| Last Updated Date | 2008-05-23 |
Provider Mailing Address Detail
| Address | 4090 Westown Parkway #a-4 |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 50266 |
| Phone Number | 5152239700 |
| Fax Number | 5152247696 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
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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What is the unique 10-digit identifier code issued to Parkway Periodontal Group Pc by the Centers for Medicare & Medicaid Services?
The Parkway Periodontal Group Pc has been assigned the NPI (National Provider Identifier) 1205094570 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Parkway Periodontal Group Pc is physically located?
The Parkway Periodontal Group Pc is physically situated at the following address: 4090 Westown Parkway #A-4, West Des Moines, IA, 50266.
What is the Parkway Periodontal Group Pc's area of specialization and corresponding taxonomy classification?
The Parkway Periodontal Group Pc's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1205094570 to Parkway Periodontal Group Pc?
The Parkway Periodontal Group Pc received its 1205094570 assignment from the Centers for Medicare & Medicaid Services on 2008-05-23.
As of what date were the details related to Parkway Periodontal Group Pc most recently updated or revised?
The information pertaining to Parkway Periodontal Group Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-23.
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