MEDICARE: DR. AMES CROSS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DDS-09093	IA

General Provider Information

NPI Number	:	1700290228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMES CROSS DDS

Provider Business Mailing Address
First Line	:	5832 CENTER ST
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-7226
Country	:	US
Telephone Number	:	515-402-7349
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 WESTOWN PKWY
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1427
Country	:	US
Telephone Number	:	515-276-8572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2014
Last Update Date	:	03/17/2018

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