Provider Demographics
NPI:1184072555
Name:AMES CENTER FOR COSMETIC AND FAMILY DENTISTRY PC
Entity type:Organization
Organization Name:AMES CENTER FOR COSMETIC AND FAMILY DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROCKOW-NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:515-956-3700
Mailing Address - Street 1:415 S DUFF AVE STE D
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-6600
Mailing Address - Country:US
Mailing Address - Phone:515-956-3700
Mailing Address - Fax:515-956-4232
Practice Address - Street 1:415 S DUFF AVE STE D
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6600
Practice Address - Country:US
Practice Address - Phone:515-956-3700
Practice Address - Fax:515-956-4232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08059332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment