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CO SDS II PLLC
NPI 1194601864
Dentist - Pediatric Dentistry in Council Bluffs, IA

Active since August 15, 2025
40 NORTHCREST DR STE 1, COUNCIL BLUFFS, IA 51503(712) 328-9605 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Co Sds Ii Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CO SDS II PLLC (NPI 1194601864) is a healthcare organization registered as a pediatric dentistry in Council Bluffs, Iowa and active in the NPI registry since August 2025. The organization lists Charlotte Dasch, Sr. Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1194601864
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCO SDS II PLLC
Location Address40 NORTHCREST DR STE 1Council Bluffs, IA 51503-1698
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (504) 638-0303
Phone(712) 328-9605
Organization SubpartNo
Authorized OfficialCharlotte DaschSr. Director Of Credentialing · (504) 638-0303
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1194601864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
40 NORTHCREST DR STE 1, Council Bluffs, IA 51503
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNA MARIKA STONE M.D.
Anesthesiology (Pediatric Anesthesiology)
40 NORTHCREST DR STE 1
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-9605
NE SPECIALTY DENTAL SERVICES LLC
Dentist (Pediatric Dentistry)
40 NORTHCREST DR STE 1
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-9605
CO SDS II PLLC
Dentist (Pediatric Dentistry)
40 NORTHCREST DR STE 1
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-9605

Frequently Asked Questions

What is CO SDS II PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1194601864, enumerated as an "organization" on August 15, 2025.

Where is the provider located?

The provider is located at 40 NORTHCREST DR STE 1 COUNCIL BLUFFS, IA 51503 and the phone number is (712) 328-9605.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.