Healthcare Provider Details

I. General information

NPI: 1841591187
Provider Name (Legal Business Name): HOVE FAMILY DENTAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2010
Last Update Date: 11/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12951 UNIVERSITY AVE SUITE 100
CLIVE IA
50325-8270
US

IV. Provider business mailing address

12951 UNIVERSITY AVE SUITE 100
CLIVE IA
50325-8270
US

V. Phone/Fax

Practice location:
  • Phone: 515-221-9003
  • Fax:
Mailing address:
  • Phone: 515-221-9003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDSAY MARIE HOVE
Title or Position: SOLE PROPRIETOR
Credential: D.D.S.
Phone: 515-480-8985