Healthcare Provider Details

I. General information

NPI: 1801684485
Provider Name (Legal Business Name): ALL SMILES DENTAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4944 FRANKLIN AVE STE A
DES MOINES IA
50310-1952
US

IV. Provider business mailing address

4944 FRANKLIN AVE STE A
DES MOINES IA
50310-1952
US

V. Phone/Fax

Practice location:
  • Phone: 515-277-0222
  • Fax: 515-277-3171
Mailing address:
  • Phone: 515-277-0222
  • Fax: 515-277-3171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VIKAS GOEL
Title or Position: OWNER/PARTNER
Credential: DMD
Phone: 315-439-4503