Ancell, Brian Wade

Ancell, Brian Wade is an sole proprietor health care provider with primary practice located at 800 S 50Th St Suite #105, West Des Moines IA 50265-5381. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ancell, Brian Wade can be contacted via phone (515) 226-9800.

Contact Information

Primary practice address
800 S 50Th St Suite #105 West Des Moines IA 50265-5381
Phone: (515) 226-9800
Fax: (515) 226-9804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 08114 Iowa

Profile Details

NPI number 1609902972
LBN Legal business name Ancell, Brian Wade
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609902972 NPPES
Iowa MEDICAID 045-0270
Iowa Other 221049
Iowa Other 270089317-00001
Iowa Other 270089317-00001
Iowa Other 8114

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