OrganizationActive
Hill Avenue Dental LLC
NPI 1376303503 · General Practice Dentistry · Spirit Lake, IA
Provider details
- NPI number
- 1376303503
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Videnta, LLC
- Organization subpart
- Yes
- Authorized official
- Lucas Bland, Coo(515) 577-6367
Specialties & taxonomies
Dental Providers
Practice location
1510 Hill Ave Ste D
Spirit Lake, IA 51360-1676
Phone: (712) 336-4895
Approximate (ZIP-level) locationGet directions
Mailing address
907 N Ankeny Blvd
Ankeny, IA 50023-4002
Other names (DBA / former)
- Doing business as
- Hill Avenue Dental
Registry dates
- Enumerated
- 2024-03-22
- Last updated
- 2024-03-22
- Certified
- 2024-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.