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General NPI Number Information
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NPI Number | 1457280356
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Entity Type | Organization
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Legal Business Name | GREATER DES MOINES ORTHODONTICS PLLC
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 60 E HICKMAN RD
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City | WAUKEE
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State | IA
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Zip | 50263-5011
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Country | US
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Telephone | 515-729-4653
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Fax |
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Provider Business Mailing Address
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Address Line | 3751 SW INDIGO AVE
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5363
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Country | US
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Telephone | 515-729-4653
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AUSTIN PRESCOTT FOSTER
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Credential | DDS, MS
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Telephone | 515-729-4653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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