Organization · Type 2 NPI
Shadow Creek Pediatric Dentistry, LLC
Dental Clinic/Center · Waukee, IA
NPI number
1538794516
Active
Practice location
822 NE Alices Rd
Waukee, IA 50263-8857
Mailing address
5910 Fairway Ct
West Des Moines, IA 50266-3851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Waukee
About NPI 1538794516
Shadow Creek Pediatric Dentistry, LLC's National Provider Identifier is 1538794516, issued on Mar 10, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Waukee, IA. The record was last updated on Mar 10, 2020.