Des Moines Pediatric Dental Center

LBN: Matthew Kubovich
Des Moines Pediatric Dental Center is an health care organization with primary practice located at 4949 Westown Pkwy Suite 150, West Des Moines IA 50266-6702. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Matthew Kubovich can be contacted via phone (515) 225-0066, or through Kubovich, Matthew Perry via phone (515) 225-0066.

Contact Information

Primary practice address
4949 Westown Pkwy Suite 150 West Des Moines IA 50266-6702
Phone: (515) 225-0066
Fax: (515) 226-0998
Website:
Map and Directions
Authorized official contact:
Name: Kubovich, Matthew Perry Doctor of Dental Surgery (DDS)
Phone: (515) 225-0066

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1386811677
LBN Legal business name Matthew Kubovich
DBA Doing business as Des Moines Pediatric Dental Center
Authorized official Kubovich, Matthew Perry Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated Nov 30th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386811677 NPPES
Iowa MEDICAID 1291575
Iowa Other 1745344
Iowa Other 35184

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