| Dr Steven Ensley West, DDS | |
|
201 E Salem Ave, Indianola, IA 50125-2621 | |
| (515) 961-8673 | |
| (515) 961-6824 |
| Full Name | Dr Steven Ensley West |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 201 E Salem Ave, Indianola, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295806131 | NPI | - | NPPES |
| #0037309 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 06153 (Iowa) | Primary |
| 1223G0001X | Dentist - General Practice | 06153 (Iowa) | Secondary |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven Ensley West, DDS 201 E Salem Ave, Indianola, IA 50125-2621 Ph: (515) 961-8673 | Dr Steven Ensley West, DDS 201 E Salem Ave, Indianola, IA 50125-2621 Ph: (515) 961-8673 |
Dr. John Joseph Vespa, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 N B St, Indianola, IA 50125 Phone: 515-961-8411 Fax: 515-962-1810 | |
Dr. Jon Edwin Vernon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 S J St, Indianola, IA 50125 Phone: 515-961-7676 Fax: 515-961-5881 | |
Dr. Jeremy Allen Pins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 N B St, Indianola, IA 50125 Phone: 515-961-8411 Fax: 515-962-1810 | |
Dr. Gary Lee Jacobsen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 N B St, Indianola, IA 50125 Phone: 515-961-8411 | |
Dr. Michael Theodore Lindeberg I, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 N Buxton St, Indianola, IA 50125 Phone: 515-961-0534 | |
Dr. David Alan Zaborac, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 N Buxton St, Indianola, IA 50125 Phone: 515-961-0534 |