NPI Code Details Logo

NPI 1750229704

NPI 1750229704 : CELEBRACES HIGHLAND PARK PLLC : DES MOINES, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1750229704
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CELEBRACES HIGHLAND PARK PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/23/2026
-----------------------------------------------------
    Last Update Date     |    03/23/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    115 E EUCLID AVE 
-----------------------------------------------------
    City                 |    DES MOINES
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50313-4558
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    515-556-0000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    115 E EUCLID AVE 
-----------------------------------------------------
    City                 |    DES MOINES
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50313-4558
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    515-556-0000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OFFICE MANAGER
-----------------------------------------------------
    Name                 |     LINDA  ESLER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    515-556-0000
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223X0400X
-----------------------------------------------------
    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.