| Drs Work And Carlson Pc | |
|
1145 66th St Des Moines IA 50311 | |
| (515) 279-0856 | |
| (515) 255-6907 |
| Full Name | Drs Work And Carlson Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1145 66th St, Des Moines, Iowa |
| Authorized Official Name and Position | Russell E Carlson (PARTNER) |
| Authorized Official Contact | 5152790856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Work And Carlson Pc 1145 66th St Des Moines IA 50311 Ph: (515) 279-0856 | Drs Work And Carlson Pc 1145 66th St Des Moines IA 50311 Ph: (515) 279-0856 |
| NPI Number | 1093877979 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093877979 | NPI | - | NPPES |
| 0500058 | Medicaid | IA | |
| 0071811 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6535 (Indiana) | Secondary |
| 1223G0001X | Dentist - General Practice | 5808 (Iowa) | Primary |
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