Provider Demographics
NPI:1447812318
Name:DENTAL CONNECTIONS, INC.
Entity type:Organization
Organization Name:DENTAL CONNECTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-244-9136
Mailing Address - Street 1:1111 9TH STREET
Mailing Address - Street 2:SUITE 190
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314
Mailing Address - Country:US
Mailing Address - Phone:515-244-9136
Mailing Address - Fax:515-244-9153
Practice Address - Street 1:1000 PORTER AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50315-7236
Practice Address - Country:US
Practice Address - Phone:515-244-9136
Practice Address - Fax:515-244-9153
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTAL CONNECTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-01
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty