Restoration Dental, P.C. in West Des Moines - Dental
Restoration Dental, P.C. - NPI 1205003506
Restoration Dental, P.C. is a Dental in West Des Moines, Iowa. Restoration Dental, P.C. practices all healthcare services and medical treatments related to Dental. The NPI Number for Restoration Dental, P.C. is 1205003506. The last update date is 2008-05-15.
Restoration Dental, P.C.'s current location address is 5465 Mills Civic Pkwy, West Des Moines, Iowa. You can contact this provider via phone number 5154403393 and fax number 5154401159. The mailing address for Restoration Dental, P.C. is 5465 Mills Civic Pkwy, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Restoration Dental, P.C. |
|---|---|
| Address | 5465 Mills Civic Pkwy, West Des Moines, Iowa |
| Phone Number | 5154403393 |
| Fax Number | 5154401159 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jensen Jerald Jay |
| Credentials | D.D.S. |
| Telephone Number | 5154403393 |
NPI Number Detail
| NPI Number | 1205003506 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 5465 Mills Civic Pkwy |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 502665318 |
| Phone Number | 5154403393 |
| Fax Number | 5154401159 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 7847 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the unique identification code assigned to Restoration Dental, P.C. by the Centers for Medicare & Medicaid Services?
The Restoration Dental, P.C. has been issued the NPI (National Provider Identifier) 1205003506. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Restoration Dental, P.C.?
The Restoration Dental, P.C. is physically situated at 5465 Mills Civic Pkwy, in the city of West Des Moines, state of IA, with the postal code 502665318.
What is Restoration Dental, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Restoration Dental, P.C.'s specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.
On what date did the Restoration Dental, P.C. receive its 1205003506 assignment from the Centers for Medicare & Medicaid Services?
The Restoration Dental, P.C. was assigned its 1205003506 by the Centers for Medicare & Medicaid Services on 2008-05-15.
As of what date were the details pertaining to Restoration Dental, P.C. last refreshed?
The information related to the Restoration Dental, P.C., including its address, specialty, and other relevant details, was last updated on 2008-05-15.
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