Healthcare Provider Details

I. General information

NPI: 1528982188
Provider Name (Legal Business Name): BIG CREEK FAMILY DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 PARKER BLVD. SUITE 100
POLK CITY IA
50226
US

IV. Provider business mailing address

1919 NW BEECHWOOD ST
ANKENY IA
50023-1166
US

V. Phone/Fax

Practice location:
  • Phone: 515-800-7183
  • Fax:
Mailing address:
  • Phone:
  • 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. ABAGAIL GERHARDT
Title or Position: OWNER
Credential: DDS
Phone: 515-800-7183