is a Orthodontics and Dentofacial Clinic in Johnston, Iowa. It is located at 6105 Nw 86th Street, Johnston, IA and its contact number is 515-253-0911. The authorized person for is Diana K Hennick
who is Office Manager of the clinic and their contact number is 515-253-0911. The primary license number for is 06391 (Orthodontics and Dentofacial Orthopedics) in Iowa. Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
6105 Nw 86th Street, Johnston, Iowa, 50131-2240
Phone:
515-253-0911
Fax:
515-331-6652
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Diana K Hennick
Position:
Office Manager
Contact Number:
515-253-0911
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1306851159
NPI Enumeration Date:
30 Jul, 2006
NPI Last Update On:
17 Jul, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
06391
Iowa
Primary
Orthodontics and Dentofacial Orthopedics
06371
Iowa
Secondary
Orthodontics and Dentofacial Orthopedics
07553
Iowa
Secondary
Orthodontics and Dentofacial Orthopedics
07513
Iowa
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6105 Nw 86th Street, Johnston, Iowa
Zip:
50131-2240
Phone Number:
515-253-0911
Fax Number:
515-331-6652
Patients can reach at 6105 Nw 86th Street, Johnston, Iowa or can call to book an appointment on 515-253-0911. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.