OrganizationActive
Advanced Family Dentistry LLC
NPI 1558133512 · General Practice Dentistry · Ankeny, IA
Provider details
- NPI number
- 1558133512
- 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
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
907 N Ankeny Blvd
Ankeny, IA 50023-4002
Phone: (515) 964-1490
Street-level locationGet directions
Mailing address
907 N Ankeny Blvd
Ankeny, IA 50023-4002
Other names (DBA / former)
- Doing business as
- Advanced Family Dentistry
Registry dates
- Enumerated
- 2023-10-24
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.