Matthew Perry Kubovich in West Des Moines - Pediatric Dentistry
Matthew Perry Kubovich - NPI 1578532446
Matthew Perry Kubovich is a Pediatric Dentistry in West Des Moines, Iowa. Matthew Perry Kubovich practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Matthew Perry Kubovich is 1578532446. The last update date is 2010-11-30.
Matthew Perry Kubovich's current location address is 4949 Westown Pkwy, West Des Moines, Iowa. You can contact this provider via phone number 5152250066 and fax number 5152260998. The mailing address for Matthew Perry Kubovich is 4949 Westown Pkwy, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Perry Kubovich |
|---|---|
| Address | 4949 Westown Pkwy, West Des Moines, Iowa |
| Phone Number | 5152250066 |
| Fax Number | 5152260998 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1578532446 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2010-11-30 |
Provider Mailing Address Detail
| Address | 4949 Westown Pkwy |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 502666702 |
| Phone Number | 5152250066 |
| Fax Number | 5152260998 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 8110 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1745344 | IA | CONCORDIA | |
| 35184 | IA | BC/BS | |
| 8110 | IA | DELTA DENTAL | |
| 1291575 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew Perry Kubovich by the Centers for Medicare & Medicaid Services (CMS)?
The Matthew Perry Kubovich has been assigned the NPI (National Provider Identifier) 1578532446. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Matthew Perry Kubovich?
The Matthew Perry Kubovich is physically situated at 4949 Westown Pkwy, in the city of West Des Moines, state of IA, with the postal code 502666702.
What is Matthew Perry Kubovich's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matthew Perry Kubovich's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578532446 to Matthew Perry Kubovich?
The Centers for Medicare & Medicaid Services originally issued the 1578532446 to Matthew Perry Kubovich on 2006-03-14.
As of what date was the information pertaining to Matthew Perry Kubovich, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Matthew Perry Kubovich, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-11-30.
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