MEDICARE: DR. CORY CAMPBELL GARNER 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	122300000X	Dentist	08651	IA

General Provider Information

NPI Number	:	1841429172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CORY CAMPBELL GARNER DDS

Provider Business Mailing Address
First Line	:	3311 SW 9TH ST STE 200
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50315-7677
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3311 SW 9TH ST STE 200
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50315-7677
Country	:	US
Telephone Number	:	515-243-7641
Fax Number	:

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

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	09/11/2025

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