Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shadow Creek Pediatric Dentistry of Waukee LLC

Organization Pediatric Dentistry · NPI 1417867946

Shadow Creek Pediatric Dentistry of Waukee LLC provides Pediatric Dentistry in Waukee, Iowa. Registered with an NPI since 2026.

In the registry since
2026
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

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1417867946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucas Bland — Coo · (515) 577-6367
NPI enumeratedSeptember 8, 2026
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026
Mailing address822 Ne Alices Rd, Waukee, IA 50263-8857

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