Healthcare Provider Details

I. General information

NPI: 1083454326
Provider Name (Legal Business Name): SILENT SLEEP IOWA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2024
Last Update Date: 12/22/2024
Certification Date: 12/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 WESTOWN PKWY STE 130
WEST DES MOINES IA
50266-8207
US

IV. Provider business mailing address

5901 WESTOWN PKWY STE 130
WEST DES MOINES IA
50266-8207
US

V. Phone/Fax

Practice location:
  • Phone: 515-508-9287
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER GIPPLE
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 515-218-8999