| Simply Smiles | |
|
348 Se Cedarwood Dr Grimes IA 50111-1143 | |
| (515) 360-0393 | |
| Not Available |
| Full Name | Simply Smiles |
|---|---|
| Speciality | Dentist |
| Location | 348 Se Cedarwood Dr, Grimes, Iowa |
| Authorized Official Name and Position | Amanda Godfrey (OWNER) |
| Authorized Official Contact | 5153600393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Smiles 348 Se Cedarwood Dr Grimes IA 50111-1143 Ph: (515) 360-0393 | Simply Smiles 348 Se Cedarwood Dr Grimes IA 50111-1143 Ph: (515) 360-0393 |
| NPI Number | 1821844689 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 11/30/2024 |
| Medicare PECOS PAC ID | 8325573595 |
|---|---|
| Medicare Enrollment ID | O20241125002136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821844689 | NPI | - | NPPES |
| Provider Name | Nicholas Couse |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679501845 PECOS PAC ID: 6305371576 Enrollment ID: I20241125002240 |
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