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INDIANOLA PEDIATRIC DENTISTRY
NPI 1538719075
Dentist - Pediatric Dentistry in Indianola, IA

Active since September 17, 2019
2001 N 6TH ST, INDIANOLA, IA 50125(319) 283-0284 Get Directions Write a Review

NPPES record last updated: January 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 12, 2020, Sep 17, 2019 (2 updates tracked since 2019).

About Indianola Pediatric Dentistry NPPES

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

INDIANOLA PEDIATRIC DENTISTRY (NPI 1538719075) is a healthcare organization registered as a pediatric dentistry in Indianola, Iowa and active in the NPI registry since September 2019. The organization lists Sandra Fox, Owner, as its authorized official.

NPPES Registry Identity

NPI1538719075
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameINDIANOLA PEDIATRIC DENTISTRY
Location Address2001 N 6TH STIndianola, IA 50125-4873
Mailing Address2001 N 6th StIndianola, IA 50125-4873 · (515) 808-7000 · Fax (515) 808-7001
Phone(319) 283-0284
Organization SubpartNo
Authorized OfficialSandra FoxOwner · (515) 808-7000
Enumeration DateSeptember 17, 2019
Last NPPES UpdateJanuary 12, 20202 updates tracked since enumeration
✔ NPI 1538719075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2001 N 6TH ST, Indianola, IA 50125
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. SANDRA RENAE FOX D.D.S.
Dentist (Pediatric Dentistry)
2001 N 6TH ST
INDIANOLA, IA 50125
Warren County (319) 283-0284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indianola Pediatric Dentistry's NPI number?

The NPI number for Indianola Pediatric Dentistry is 1538719075. It was assigned to this organization in the NPPES registry on September 17, 2019.

Where is Indianola Pediatric Dentistry located?

Indianola Pediatric Dentistry is located at 2001 N 6th St, Indianola, IA 50125. The listed phone number is (319) 283-0284.

What is Indianola Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Indianola Pediatric Dentistry was last updated on January 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.