Healthcare Provider Details

I. General information

NPI: 1689108433
Provider Name (Legal Business Name): A PLUS IOWA DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 SW 9TH ST
DES MOINES IA
50315-3973
US

IV. Provider business mailing address

401 COMMERCE DR SUITE 108
FORT WASHINGTON PA
19034-2714
US

V. Phone/Fax

Practice location:
  • Phone: 515-287-0011
  • Fax: 515-287-0077
Mailing address:
  • Phone: 215-550-4590
  • Fax: 215-646-6166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS09035
License Number StateIA

VIII. Authorized Official

Name: DR. NIRANJAN SAVANI
Title or Position: OWNER
Credential: DMD
Phone: 515-287-0011