OrganizationActive
Advanced Oral Surgery, PLLC
NPI 1285582262 · Oral and Maxillofacial Surgery (Dentist) · West Des Moines, IA
Provider details
- NPI number
- 1285582262
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Advanced Oral Surgery, PLLC
- Authorized official
- Jenn Heritage, Credentialing Manager
Practice location
4320 Westown Pkwy Ste 100
West Des Moines, IA 50266-1096
Phone: (515) 417-1500
Fax: (515) 417-2811
Mailing address
4320 Westown Pkwy Ste 100
West Des Moines, IA 50266-1096
Registry dates
- Enumerated
- 2026-03-17
- Last updated
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.