| Co Sds Ii Pllc | |
|
40 Northcrest Dr Ste 1 Council Bluffs IA 51503-1698 | |
| (712) 328-9605 | |
| Not Available |
| Full Name | Co Sds Ii Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 40 Northcrest Dr Ste 1, Council Bluffs, Iowa |
| Authorized Official Name and Position | Charlotte V Dasch (SR DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Co Sds Ii Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (504) 638-0303 | Co Sds Ii Pllc 40 Northcrest Dr Ste 1 Council Bluffs IA 51503-1698 Ph: (712) 328-9605 |
| NPI Number | 1700762481 |
|---|---|
| Provider Enumeration Date | 08/15/2025 |
| Last Update Date | 08/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700762481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Children's Dentistry Of Council Bluffs, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Northcrest Dr, Council Bluffs, IA 51503 Phone: 712-328-9605 Fax: 712-328-9608 | |
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