Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadow Creek Pediatric Dentistry, LLC

Organization Dental Clinic/Center · NPI 1538794516

Shadow Creek Pediatric Dentistry, LLC is a Dental Clinic/Center in Waukee, Iowa. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

822 NE Alices Rd
Waukee, IA 50263-8857
Phone: (515) 264-2772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1538794516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Hammond — Owner · (515) 480-1754
NPI enumeratedMarch 10, 2020
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020
Mailing address5910 Fairway Ct, West Des Moines, IA 50266-3851

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